Luminous Dental

NPI #1245628304 in Spring, Texas

Provider Information

NPI Number: 1245628304
Entity Type: Organization
Organization Name: Luminous Dental
Primary Specialty: Dentist
Enumeration Date: Dec 23, 2014
Last Updated: Dec 23, 2014

Practice Location

Address: 566 SAWDUST RD
City: Spring
State: Texas
ZIP Code: 77380-2245
Phone: (281) 948-1612

Authorized Official

Name: JUAN CARLOS FERNANDEZ, DDS, MS
Title: OWNER
Phone: (281) 948-1612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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