Lund, Brett B
Lund, Brett B is an individual health care provider with primary practice located at 325 Martin St Ste B , Twin Falls ID 83301-4563. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lund, Brett B can be contacted via phone (208) 732-7447.Contact Information
Primary practice address
325 Martin St Ste B
Twin Falls ID 83301-4563
Phone: (208) 732-7447
Fax: (208) 733-5940
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D-4191 | Idaho |
Profile Details
| NPI number | 1033291687 |
|---|---|
| LBN Legal business name | Lund, Brett B |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Dec 3rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033291687 | NPPES |
| Idaho | Other | D-4191 | IDAHO STATE BOARD OF DENTISTRY |
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