Provider Demographics
NPI:1588669998
Name:LUND, CARA (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:
Last Name:LUND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 BARNARD RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-4407
Mailing Address - Country:US
Mailing Address - Phone:617-484-7630
Mailing Address - Fax:
Practice Address - Street 1:2 MAIN ST
Practice Address - Street 2:STE 225
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-3336
Practice Address - Country:US
Practice Address - Phone:781-438-2700
Practice Address - Fax:781-438-8577
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA208221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice