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Organization
LUA FAMILY DENTISTRY, INC.
Active
Organization
LUA FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID LUA D.M.D. (PRESIDENT)
(626) 813-3699
Entity
Organization
Contact information
Practice address
1101 SOUTH GLENDORA AVE., SUITE #A, WEST COVINA, CA 91790
(626) 813-3699
(626) 813-3769
Mailing address
1101 SOUTH GLENDORA AVE., SUITE #A, WEST COVINA, CA 91790
(626) 813-3699
(626) 813-3769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36400
CA
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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