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Organization
ELEANOR M LUMAHAN DDS INC
Active
Organization
ELEANOR M LUMAHAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELEANOR MADRID LUMAHAN DDS (PRESIDENT)
(619) 336-6063
Entity
Organization
Contact information
Practice address
1127 HIGHLAND AVE, NATIONAL CITY, CA 91950-3517
(619) 336-6063
(619) 336-6066
Mailing address
1127 HIGHLAND AVE, NATIONAL CITY, CA 91950-3517
(619) 336-6063
(619) 336-6066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518105089
NPPES
CA
01
—
D54283
DENTICAL
CA
Enumeration date
08/12/2009
Last updated
10/10/2019
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