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Organization
LUTHRA DENTAL CORP
Active
Organization
LUTHRA DENTAL CORP
Active
Other names
Thousand Oaks Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKAS LUTHRA DDS (OWNER DENTIST)
(805) 497-3726
Entity
Organization
Contact information
Practice address
228 LOMBARD ST STE B, THOUSAND OAKS, CA 91360-8201
(805) 497-3726
(805) 497-2338
Mailing address
228 LOMBARD ST STE B, THOUSAND OAKS, CA 91360-8201
(805) 497-3726
(805) 497-2338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103598
DENTIST
CA
Enumeration date
12/07/2020
Last updated
12/07/2020
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