Individual
DR. DAVID TSUNOYU LUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11841 PALM BEACH BLVD UNIT 115, FORT MYERS, FL 33905-5914
(239) 694-7702
Mailing address
3810 MOSSY WAY CT, FORT MYERS, FL 33905-3835
(732) 809-4349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
041650
NY
1223G0001X
General Practice Dentistry
Primary
22465
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01431305
—
NY
Enumeration date
12/24/2007
Last updated
11/26/2019
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