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Organization
LUMINOUS DENTAL
Active
Organization
LUMINOUS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN CARLOS FERNANDEZ DDS, MS (OWNER)
(281) 948-1612
Entity
Organization
Contact information
Practice address
566 SAWDUST RD, SPRING, TX 77380-2245
(281) 948-1612
Mailing address
566 SAWDUST RD, SPRING, TX 77380-2245
(281) 948-1612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24223
TX
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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