| NPI | 1255087888 |
|---|---|
| Doing Business As | LUMINOUS DENTAL |
| Entity Type | Organization |
| Authorized Contact | CARLI WARDEN Owner/Dentist 980-423-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2022-02-22 |