Individual
EMMELINE LUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3110 KERNER BLVD, SAN RAFAEL, CA 94901-5411
(415) 448-1500
Mailing address
3110 KERNER BLVD STE B, SAN RAFAEL, CA 94901-5411
(415) 448-1500
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
30679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30679
DENTAL HYGIENE BOARD OF CALIFORNIA
CA
Enumeration date
12/16/2019
Last updated
02/16/2021
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