| NPI | 1134737745 |
|---|---|
| Doing Business As | BRUSHWELL DENTAL: DENTAL GROUP OF LUU DENTAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | GARY LUU President 626-288-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |