Provider Demographics
NPI:1699822767
Name:DAYRIT, LUZVIMINDA V (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUZVIMINDA
Middle Name:V
Last Name:DAYRIT
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 1:6937 COLUMBIA CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2057
Mailing Address - Country:US
Mailing Address - Phone:909-646-9482
Mailing Address - Fax:
Practice Address - Street 1:6937 COLUMBIA CT
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-2057
Practice Address - Country:US
Practice Address - Phone:909-646-9482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA513851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA51385OtherDENTIST