Provider Demographics
NPI:1568999746
Name:MEI LU DDS INC
Entity Type:Organization
Organization Name:MEI LU DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-792-1093
Mailing Address - Street 1:1690 BARTON RD
Mailing Address - Street 2:STE 100
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-4229
Mailing Address - Country:US
Mailing Address - Phone:909-792-1093
Mailing Address - Fax:909-793-4531
Practice Address - Street 1:1690 BARTON RD
Practice Address - Street 2:STE 100
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4229
Practice Address - Country:US
Practice Address - Phone:909-792-1093
Practice Address - Fax:909-793-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-18
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA575031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty