Provider Demographics
NPI:1750660718
Name:LUINSTRA, HILARY A (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:A
Last Name:LUINSTRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3414 W UNION HILLS DR
Mailing Address - Street 2:STE 10
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-4899
Mailing Address - Country:US
Mailing Address - Phone:623-434-0620
Mailing Address - Fax:623-434-0619
Practice Address - Street 1:10210 W MCDOWELL RD
Practice Address - Street 2:SUITE 140
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-4842
Practice Address - Country:US
Practice Address - Phone:623-873-0880
Practice Address - Fax:623-873-0881
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2016-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ83071223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice