Healthcare Provider Details

I. General information

NPI: 1427968502
Provider Name (Legal Business Name): RITA LU ENDODONTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 E HOLLAND AVE STE 202
SPOKANE WA
99218-5016
US

IV. Provider business mailing address

775 E HOLLAND AVE STE 202
SPOKANE WA
99218-5016
US

V. Phone/Fax

Practice location:
  • Phone: 305-528-8709
  • Fax: 509-468-7544
Mailing address:
  • Phone: 305-528-8709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: RITA LU
Title or Position: ENDODONTIST
Credential: DMD MDS
Phone: 305-528-8709