| Lu Tang Dds Inc Dba Lucky Dental | |
|
2230 Story Rd Suite 20 San Jose CA 95122-1054 | |
| (408) 928-6000 | |
| (408) 928-6008 |
| Full Name | Lu Tang Dds Inc Dba Lucky Dental |
|---|---|
| Speciality | Dentist |
| Location | 2230 Story Rd, San Jose, California |
| Authorized Official Name and Position | Lu Tang (PRESIDENT) |
| Authorized Official Contact | 4089286000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lu Tang Dds Inc Dba Lucky Dental 2230 Story Rd Suite 20 San Jose CA 95122-1054 Ph: (408) 928-6000 | Lu Tang Dds Inc Dba Lucky Dental 2230 Story Rd Suite 20 San Jose CA 95122-1054 Ph: (408) 928-6000 |
| NPI Number | 1033384573 |
|---|---|
| Provider Enumeration Date | 04/25/2008 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033384573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44100 (California) | Primary |
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