Lumina Dental of Lutz, PA

NPI #1952949141 in Lutz, Florida

Provider Information

NPI Number: 1952949141
Entity Type: Organization
Organization Name: Lumina Dental of Lutz, PA
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 18, 2019
Last Updated: Dec 18, 2019

Practice Location

Address: 2425 BRUNELLO TRCE
City: Lutz
State: Florida
ZIP Code: 33558-7800
Phone: (813) 381-5858

Authorized Official

Name: DR. JOHN D IVEY, DMD
Title: OWNER
Phone: (813) 381-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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