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NPI Code Detail

MEDICARE: CYNTHIA LUNDGREEN RDH

MEDICARE:   CYNTHIA  LUNDGREEN  RDH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1124Q00000XDental HygienistDH00006190WA

General Provider Information

NPI Number : 1205131026
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA LUNDGREEN RDH
Provider Business Mailing Address
First Line : 1329 S IRVING PL
Second Line :
City : KENNEWICK
State : WA
Zip : 99338-2170
Country : US
Telephone Number : 509-735-4660
Fax Number :
Provider Business Practice Location Address
First Line : 343 WELLSIAN WAY
Second Line : SUITE 103
City : RICHLAND
State : WA
Zip : 99352-4107
Country : US
Telephone Number : 509-943-3232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2011
Last Update Date : 01/26/2011

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Directions to “ CYNTHIA LUNDGREEN RDH” Practice Location

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