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Organization
LIFETIME DENTAL CARE
Active
Organization
LIFETIME DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY C LU DDS (PRESIDENT)
(408) 255-9666
Entity
Organization
Contact information
Practice address
1062 S DE ANZA BLVD STE C103, SAN JOSE, CA 95129-3556
(408) 255-9666
(408) 255-4524
Mailing address
1062 S DE ANZA BLVD STE C103, SAN JOSE, CA 95129-3556
(408) 255-9666
(408) 255-4524
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42062
CA
Other
Enumeration date
07/22/2006
Last updated
02/25/2013
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