Search › Hawaii › 122300000X
Jack Lundgren, DDS
NPI 1194802918 · on the registry since 2006
Practice
- Address
- 4347 Rice St
Ste 201
Lihue, HI 96766 - Phone
- (808) 246-4881
- Organisation at this address
- Ivan Chuah Llc
Garden Island Dental LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- HI, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii