Individual
MICHAEL LOUIS LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8540 S SEPULVEDA BLVD, #700, LOS ANGELES, CA 90045
(310) 216-0101
(310) 216-1279
Mailing address
8540 S SEPULVEDA BLVD, #700, LOS ANGELES, CA 90045
(310) 216-0101
(310) 216-1279
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521141
DCAL PIN
CA
Enumeration date
09/25/2006
Last updated
07/08/2007
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