Provider Demographics
NPI:1578280335
Name:LUTHI, CHRISTINE AKIKO (DDS)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:AKIKO
Last Name:LUTHI
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 1:2412 ROARK DR
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-4630
Mailing Address - Country:US
Mailing Address - Phone:626-213-7517
Mailing Address - Fax:
Practice Address - Street 1:8880 FOOTHILL BLVD STE 5
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-7198
Practice Address - Country:US
Practice Address - Phone:909-784-1659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108162122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist