Organization
MARITES PEREZ LUNASTAR, DENTAL PRACTICE INC
Active
Other names
Lunastar Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARITES PEREZ (OWNER)
(714) 770-0455
Entity
Organization
Contact information
Practice address
508 S HARBOR BLVD, FULLERTON, CA 92832-2411
(714) 770-0455
Mailing address
508 S HARBOR BLVD, FULLERTON, CA 92832-2411
(714) 770-0455
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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