Individual
DR. JUANA E LUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1376 EAST 15TH ST, BROOKLYN, NY 11230
(718) 339-3358
(718) 339-3358
Mailing address
1376 EAST 15TH ST, BROOKLYN, NY 11230
(718) 339-3358
(718) 339-3358
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0462051
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01668482
—
NY
Enumeration date
03/29/2007
Last updated
07/13/2009
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