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Organization
LU DENTAL INCORPORATED
Active
Organization
LU DENTAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY LU (OWNER)
(949) 241-5443
Entity
Organization
Contact information
Practice address
6550 SHADY BROOK LN APT 822, DALLAS, TX 75206-1212
(949) 241-5443
Mailing address
6550 SHADY BROOK LN APT 822, DALLAS, TX 75206-1212
(949) 241-5443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
01/14/2019
Last updated
10/24/2022
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