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Organization
MICHAEL J LUGTU DDSINC.
Active
Organization
MICHAEL J LUGTU DDSINC.
Active
Other names
San Remo Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LUGTU DDS (PRESIDENT)
(562) 630-2222
Entity
Organization
Contact information
Practice address
15122 PARAMOUNT BLVD, PARAMOUNT, CA 90723-4337
(562) 630-2222
(562) 630-4690
Mailing address
15122 PARAMOUNT BLVD, PARAMOUNT, CA 90723-4337
(562) 630-2222
(562) 630-4690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G-92283-01
DENTAL OFFICE
CA
Enumeration date
02/07/2007
Last updated
08/22/2020
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