| Luminous Dental | |
|
2344 El Camino Real Ste-120 Santa Clara CA 95050-4072 | |
| (408) 260-0770 | |
| (408) 260-0680 |
| Full Name | Luminous Dental |
|---|---|
| Speciality | Dentist |
| Location | 2344 El Camino Real, Santa Clara, California |
| Authorized Official Name and Position | Smita J Rodrigues (PRESIDENT/CEO) |
| Authorized Official Contact | 4082600770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Dental 2344 El Camino Real Ste-120 Santa Clara CA 95050-4072 Ph: (408) 260-0770 | Luminous Dental 2344 El Camino Real Ste-120 Santa Clara CA 95050-4072 Ph: (408) 260-0770 |
| NPI Number | 1679826481 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679826481 | NPI | - | NPPES |
| 1730377425 | Other | TYPE I NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 48986 (California) | Primary |
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