Individual
DR. ANDREW LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12264 EL CAMINO REAL STE 306, SAN DIEGO, CA 92130-3062
(858) 755-9810
Mailing address
12264 EL CAMINO REAL STE 306, SAN DIEGO, CA 92130-3062
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
103908
CA
Other
Enumeration date
05/16/2019
Last updated
08/11/2022
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