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Individual
EVELYN EPOSI LUMA
Active
Individual
EVELYN EPOSI LUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410284
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1566153
UCCI
VA
01
—
176807
BCBS ANTHEM
VA
05
—
9178657
—
VA
Enumeration date
08/14/2006
Last updated
12/10/2010
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