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NPI Code Detail

MEDICARE: DR. VINCENT LUAN D.D.S.

MEDICARE:  DR. VINCENT  LUAN  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist55851CA
21223P0221XPediatric Dentistry21396TX

General Provider Information

NPI Number : 1548459662
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT LUAN D.D.S.
Provider Business Mailing Address
First Line : 1601 MAIN ST STE 307
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3230
Country : US
Telephone Number : 281-238-4746
Fax Number : 713-271-9668
Provider Business Practice Location Address
First Line : 1601 MAIN ST STE 307
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3230
Country : US
Telephone Number : 281-238-4746
Fax Number : 281-763-2627
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2007
Last Update Date : 10/08/2012

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Directions to “ DR. VINCENT LUAN D.D.S.” Practice Location

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