Provider Demographics
NPI:1326471558
Name:LUU, NATALIE MAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:MAI
Last Name:LUU
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 1:210 HEINLEN ST
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93245-2947
Mailing Address - Country:US
Mailing Address - Phone:510-386-0387
Mailing Address - Fax:
Practice Address - Street 1:210 HEINLEN ST
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93245-2947
Practice Address - Country:US
Practice Address - Phone:510-386-0387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62733122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist