DR. Lucila B Takla, DDS

NPI #1114131240 in San Mateo, California

Provider Information

NPI Number: 1114131240
Entity Type: Individual
Name: DR. Lucila B Takla, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 333 N SAN MATEO DR
City: San Mateo
State: California
ZIP Code: 94401-2513
Phone: (650) 347-7571

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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