Provider Demographics
NPI:1568010148
Name:SHIEH AND LUO DENTAL GROUP
Entity Type:Organization
Organization Name:SHIEH AND LUO DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LUO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-365-4626
Mailing Address - Street 1:801 WOODSIDE RD #3
Mailing Address - Street 2:SUITE #3
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061
Mailing Address - Country:US
Mailing Address - Phone:650-365-4626
Mailing Address - Fax:650-365-4625
Practice Address - Street 1:801 WOODSIDE RD #3
Practice Address - Street 2:SUITE #3
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061
Practice Address - Country:US
Practice Address - Phone:650-365-4626
Practice Address - Fax:650-365-4625
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty