Lua Family Dentistry, Inc.

NPI #1407114481 in West Covina, California

Provider Information

NPI Number: 1407114481
Entity Type: Organization
Organization Name: Lua Family Dentistry, Inc.
Primary Specialty: Dentist
Enumeration Date: Apr 27, 2012
Last Updated: Apr 27, 2012

Practice Location

Address: 1101 SOUTH GLENDORA AVE.
Address 2: SUITE #A
City: West Covina
State: California
ZIP Code: 91790
Phone: (626) 813-3699

Authorized Official

Name: DR. MICHAEL DAVID LUA, D.M.D.
Title: PRESIDENT
Phone: (626) 813-3699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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