Healthcare Provider Details

I. General information

NPI: 1265110720
Provider Name (Legal Business Name): JOSHUA LUAT DO DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 12/21/2025
Certification Date: 12/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 S MAIN ST
SALINAS CA
93901-2435
US

IV. Provider business mailing address

921 S MAIN ST
SALINAS CA
93901-2435
US

V. Phone/Fax

Practice location:
  • Phone: 831-998-9427
  • Fax:
Mailing address:
  • Phone: 831-998-9427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number112417
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: