Provider Demographics
NPI:1114006889
Name:LUNA, CELLINI NAVARRO (DDS)
Entity Type:Individual
Prefix:DR
First Name:CELLINI
Middle Name:NAVARRO
Last Name:LUNA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11863 CEDARBROOK PL
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-3949
Mailing Address - Country:US
Mailing Address - Phone:909-446-1784
Mailing Address - Fax:951-784-0674
Practice Address - Street 1:4024 12TH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-3561
Practice Address - Country:US
Practice Address - Phone:951-784-0636
Practice Address - Fax:951-784-0674
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice