Individual
BRIAN THOMAS LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
200 SUDDERTH DR STE C, RUIDOSO, NM 88345-6001
(575) 258-4698
Mailing address
200 SUDDERTH DR STE C, RUIDOSO, NM 88345-6001
(575) 258-4698
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD5523
NM
Other
Enumeration date
09/19/2012
Last updated
11/11/2024
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