Provider Demographics
NPI:1285813402
Name:ARTHUR LOWE, D.D.S., TIM NG, D.D.S., AND CECILIA LOWE, D.D.S., INC
Entity Type:Organization
Organization Name:ARTHUR LOWE, D.D.S., TIM NG, D.D.S., AND CECILIA LOWE, D.D.S., INC
Other - Org Name:LAKESIDE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-469-7777
Mailing Address - Street 1:2645 OCEAN AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1633
Mailing Address - Country:US
Mailing Address - Phone:415-469-7777
Mailing Address - Fax:415-469-7772
Practice Address - Street 1:2645 OCEAN AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1633
Practice Address - Country:US
Practice Address - Phone:415-469-7777
Practice Address - Fax:415-469-7772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA442241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA989695OtherUNITED CONCORDIA PID
CAB44224-01OtherSF HEALTHY FAMILY