Provider Demographics
NPI:1871761825
Name:HOI VAN LUU DENTAL CORP.
Entity type:Organization
Organization Name:HOI VAN LUU DENTAL CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOI
Authorized Official - Middle Name:VAN
Authorized Official - Last Name:LUU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-288-8940
Mailing Address - Street 1:1101 E GARVEY AVE
Mailing Address - Street 2:106
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91755-3056
Mailing Address - Country:US
Mailing Address - Phone:626-288-8940
Mailing Address - Fax:626-288-8940
Practice Address - Street 1:1101 E GARVEY AVE
Practice Address - Street 2:106
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91755-3056
Practice Address - Country:US
Practice Address - Phone:626-288-8940
Practice Address - Fax:626-288-8940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADU31660122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty