Individual
HARVEY A LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1085 WINSTON AVE, SAN MARINO, CA 91108
(626) 372-5961
Mailing address
1085 WINSTON AVE, SAN MARINO, CA 91108-2131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
103627
CA
122300000X
Dentist
LL-415-16
NV
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103627
CA
Other
Enumeration date
09/28/2016
Last updated
06/22/2019
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