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Organization
MICHAEL J LUGTU DDS INC.
Active
Organization
MICHAEL J LUGTU DDS INC.
Active
Other names
San Remo Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LUGTU DDS (PRESIDENT)
(626) 279-7717
Entity
Organization
Contact information
Practice address
9251 GARVEY AVE, SUITE D, EL MONTE, CA 91733-4609
(626) 279-7717
(626) 279-7977
Mailing address
9251 GARVEY AVE, SUITE D, EL MONTE, CA 91733-4609
(626) 279-7717
(626) 279-7977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G-92283-02
DENTAL OFFICE
CA
Enumeration date
02/14/2007
Last updated
08/22/2020
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