Organization
ELIZABETH LUONG DDS INC
Active
Other names
4.0 Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH LUONG DMD (OWNER/DENTIST)
(415) 513-3792
Entity
Organization
Contact information
Practice address
1747 CREEKSIDE DR STE 100, FOLSOM, CA 95630-3928
(916) 467-7920
Mailing address
1747 CREEKSIDE DR STE 100, FOLSOM, CA 95630-3928
(916) 467-7920
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100585
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/17/2018
Last updated
04/17/2018
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