Individual
DR. MICHAEL GARY LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12264 EL CAMINO REAL, SUITE 306, SAN DIEGO, CA 92130-3058
(858) 755-9810
Mailing address
12264 EL CAMINO REAL, SUITE 306, SAN DIEGO, CA 92130-3058
(858) 755-9810
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
53922
CA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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