Organization
JUAN F. LUQUE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN FERNANDO LUQUE M.D., D.D.S. (CEO/ OWNER/ DOCTOR)
(415) 285-0526
Entity
Organization
Contact information
Practice address
2480 MISSION ST, 219, SAN FRANCISCO, CA 94110-2468
(415) 285-0526
(415) 285-1906
Mailing address
2480 MISSION ST, 219, SAN FRANCISCO, CA 94110-2468
(415) 285-0526
(415) 285-1906
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
48321
CA
Other
Enumeration date
04/22/2009
Last updated
01/31/2013
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