Individual
ELAINE LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
25078 PEACHLAND AVE STE H, NEWHALL, CA 91321-2555
(661) 259-3600
Mailing address
400 N MACLAY AVE, SAN FERNANDO, CA 91340-2417
(818) 361-4084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DDS102382
CA
1223P0700X
Prosthodontics
Primary
DDS102382
CA
Other
Enumeration date
07/12/2019
Last updated
02/10/2022
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