Provider Demographics
NPI:1477682128
Name:BRIGNON, LUZANA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUZANA
Middle Name:MARIA
Last Name:BRIGNON
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 1:4600 ALUM ROCK AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-2463
Mailing Address - Country:US
Mailing Address - Phone:408-251-0610
Mailing Address - Fax:408-251-2888
Practice Address - Street 1:4600 ALUM ROCK AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-2463
Practice Address - Country:US
Practice Address - Phone:408-251-0610
Practice Address - Fax:408-251-2888
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA490651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice