Provider Demographics
NPI:1619662095
Name:LUO, ROLINA (DMD)
Entity Type:Individual
Prefix:
First Name:ROLINA
Middle Name:
Last Name:LUO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2517 CIMA HILL DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-4765
Mailing Address - Country:US
Mailing Address - Phone:909-374-0174
Mailing Address - Fax:
Practice Address - Street 1:2517 CIMA HILL DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-4765
Practice Address - Country:US
Practice Address - Phone:909-374-0174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program