Individual
LISA MARIE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8527 SEPULVEDA BLVD, NORTH HILLS, CA 91343-5824
(818) 895-3100
Mailing address
16142 BANBRIDGE AVE, LA PUENTE, CA 91744-4501
(626) 225-5919
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
36869
CA
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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