NPI | 1740170760 |
---|---|
Doing Business As | LUMOS DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | SAUL GONZALEZ Dentist 919-279-0713 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2025-07-09 |
Last Update Date | 2025-07-28 |