Individual
LEWIS WENBUO YIN LUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
616 CAMPUS DR STE 100, ABINGDON, VA 24210-9706
(276) 525-4487
Mailing address
22180 LATHAM DR, BRISTOL, VA 24202-4940
(206) 724-8158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418018
VA
122300000X
Dentist
60966563
CA
Other
Enumeration date
05/13/2021
Last updated
10/26/2022
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