Individual
ALENDA LUPTRAWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
665 N D ST, SAN BERNARDINO, CA 92401-1109
(909) 708-8168
Mailing address
923 TERRACE LN W UNIT 2, DIAMOND BAR, CA 91765-4569
(626) 695-6456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46291
CA
Other
Enumeration date
10/11/2006
Last updated
03/30/2012
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