Individual
DR. EGDON LIBAO SAN LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21471 FOOTHILL BLVD, SUITE E, HAYWARD, CA 94541
(510) 537-6175
(510) 537-6170
Mailing address
21471 FOOTHILL BLVD, SUITE E, HAYWARD, CA 94541
(510) 537-6175
(510) 537-6170
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
49661
CA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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