Individual
LAURITA SIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
1001 SHADOW LN, LAS VEGAS, NV 89106-4124
(702) 774-2416
Mailing address
12821 MAIN ST., HESPERIA, CA 92345
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DDS101380
CA
Other
Enumeration date
07/14/2015
Last updated
09/06/2017
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