| Lei Luo, D.d.s., Inc | |
|
841 San Bruno Ave W Suite 3 San Bruno CA 94066-3443 | |
| (650) 583-6032 | |
| (650) 583-6455 |
| Full Name | Lei Luo, D.d.s., Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 841 San Bruno Ave W, San Bruno, California |
| Authorized Official Name and Position | Lei Luo (PRESIDENT) |
| Authorized Official Contact | 6505836032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lei Luo, D.d.s., Inc 841 San Bruno Ave W Suite 3 San Bruno CA 94066-3443 Ph: (650) 583-6032 | Lei Luo, D.d.s., Inc 841 San Bruno Ave W Suite 3 San Bruno CA 94066-3443 Ph: (650) 583-6032 |
| NPI Number | 1558530741 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558530741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 51498 (California) | Primary |
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