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Organization
NHIEN LUU, D.D.S., INC.
Active
Organization
NHIEN LUU, D.D.S., INC.
Active
Other names
Maple Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NHIEN T LUU D.D.S. (PRESIDENT)
(760) 949-7274
Entity
Organization
Contact information
Practice address
14466 MAIN ST, SUITE B107, HESPERIA, CA 92345-4664
(760) 949-7274
(760) 949-9515
Mailing address
14466 MAIN ST, SUITE B107, HESPERIA, CA 92345-4664
(760) 949-7274
(760) 949-9515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
48826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104080167
INDIVIDUAL NPI
CA
Enumeration date
10/24/2009
Last updated
10/24/2009
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