| NPI | 1649039793 |
|---|---|
| Doing Business As | LUMINOUS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SCOTT WILSON Owner 725-291-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223E0200X Dentist, Endodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |