NPI | 1417479890 |
---|---|
Former Legal Business Name | SHELDON XIAOCHEN LU DMD INC |
Entity Type | Organization |
Authorized Contact | SHELDON XIAOCHEN LU Owner 714-835-4441 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 64765) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 61156) |
1223G0001X Dentist, General Practice (Licence: CA 56342) | |
Enumeration Date | 2017-07-07 |
Last Update Date | 2022-07-21 |