| Luz Cubillos D.d.s., Inc. | |
|
20434 Sherman Way Canoga Park CA 91306-3110 | |
| (818) 888-7962 | |
| (818) 888-4923 |
| Full Name | Luz Cubillos D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20434 Sherman Way, Canoga Park, California |
| Authorized Official Name and Position | Luz Consuelo Cubillos (OWENER) |
| Authorized Official Contact | 8188887962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luz Cubillos D.d.s., Inc. 20434 Sherman Way Canoga Park CA 91306-3110 Ph: (818) 888-7962 | Luz Cubillos D.d.s., Inc. 20434 Sherman Way Canoga Park CA 91306-3110 Ph: (818) 888-7962 |
| NPI Number | 1457472615 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457472615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39040 (California) | Primary |
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