Provider Demographics
NPI:1235503038
Name:LUE, CHING (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHING
Middle Name:
Last Name:LUE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ZENY CHING
Other - Middle Name:
Other - Last Name:LUE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2400 WESTBOROUGH BLVD STE 105A
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5402
Mailing Address - Country:US
Mailing Address - Phone:650-737-7907
Mailing Address - Fax:650-737-7906
Practice Address - Street 1:2400 WESTBOROUGH BLVD STE 105A
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5402
Practice Address - Country:US
Practice Address - Phone:650-737-7907
Practice Address - Fax:650-737-7906
Is Sole Proprietor?:No
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA648401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice