Organization
SHEILA MT LUWIHARTO DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA LUWIHARTO (OWNER/DENTIST)
(949) 768-0211
Entity
Organization
Contact information
Practice address
27001 LA PAZ RD, #236, MISSION VIEJO, CA 92691-5502
(949) 768-0211
Mailing address
27001 LA PAZ RD, #236, MISSION VIEJO, CA 92691-5502
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60139
CA
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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