Individual
MRS. MARIE LUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
11201 SIERRA AVE STE F, FONTANA, CA 92337-7581
(909) 822-9090
Mailing address
6485 NIDEVER AVE, RIVERSIDE, CA 92504-1607
(951) 546-2283
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
33590
CA
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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