Organization
YI LUO DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YI LUO (CEO)
(408) 777-8998
Entity
Organization
Contact information
Practice address
20065 STEVENS CREEK BLVD BLDG A, CUPERTINO, CA 95014-2350
(310) 986-1271
Mailing address
20065 STEVENS CREEK BLVD BLDG A, CUPERTINO, CA 95014-2350
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
01/02/2023
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