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Organization
LEI LUO, D.D.S., INC
Active
Organization
LEI LUO, D.D.S., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEI LUO DDS (PRESIDENT)
(650) 583-6032
Entity
Organization
Contact information
Practice address
841 SAN BRUNO AVE W, SUITE 3, SAN BRUNO, CA 94066-3443
(650) 583-6032
(650) 583-6455
Mailing address
841 SAN BRUNO AVE W, SUITE 3, SAN BRUNO, CA 94066-3443
(650) 583-6032
(650) 583-6455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51498
CA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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