| NPI | 1669240263 |
|---|---|
| Doing Business As | LUNA DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHAWN PHAM Sole Member 253-222-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |