Provider Demographics
NPI:1942320890
Name:HARRY A. LOUIE, D.D.S., APC
Entity Type:Organization
Organization Name:HARRY A. LOUIE, D.D.S., APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:C
Authorized Official - Last Name:LOUIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-962-4428
Mailing Address - Street 1:1710 W CAMERON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-2720
Mailing Address - Country:US
Mailing Address - Phone:626-962-4428
Mailing Address - Fax:626-962-9789
Practice Address - Street 1:1710 W CAMERON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-2720
Practice Address - Country:US
Practice Address - Phone:626-962-4428
Practice Address - Fax:626-962-9789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA179601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty