Provider Demographics
NPI:1346254042
Name:LUNKEN, DINA F (DDS)
Entity Type:Individual
Prefix:DR
First Name:DINA
Middle Name:F
Last Name:LUNKEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:803 21ST ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:PERU
Mailing Address - State:IL
Mailing Address - Zip Code:61354-1584
Mailing Address - Country:US
Mailing Address - Phone:815-223-6622
Mailing Address - Fax:
Practice Address - Street 1:803 21ST ST
Practice Address - Street 2:SUITE B
Practice Address - City:PERU
Practice Address - State:IL
Practice Address - Zip Code:61354-1584
Practice Address - Country:US
Practice Address - Phone:815-223-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry