Provider Demographics
NPI:1902007750
Name:LUI, CHIU L (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHIU
Middle Name:L
Last Name:LUI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12908 NEW HAMPSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3354
Mailing Address - Country:US
Mailing Address - Phone:301-680-7128
Mailing Address - Fax:301-680-7128
Practice Address - Street 1:12908 NEW HAMPSHIRE AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-3354
Practice Address - Country:US
Practice Address - Phone:301-680-7128
Practice Address - Fax:301-680-7128
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD113321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice