Organization
MICHAEL L LUTHER D.D.S INC
Active
Other names
Michael L Luther D.D.S INC, Moreno Valley Braces
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L LUTHER D.D.S , M.P.H (OWNER ORTHODONTIST)
(951) 242-0779
Entity
Organization
Contact information
Practice address
24104 SUNNYMEAD BLVD STE C, MORENO VALLEY, CA 92553-7732
(951) 242-0779
(951) 242-7666
Mailing address
24104 SUNNYMEAD BLVD STE C, MORENO VALLEY, CA 92553-7732
(951) 242-0779
(951) 242-7666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
23125
CA
Other
Enumeration date
04/25/2018
Last updated
10/18/2018
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