Provider Demographics
NPI:1992828305
Name:LUI, ELAINE CHI LING (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:CHI LING
Last Name:LUI
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 1:363 EL CAMINO REAL STE 103
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5991
Mailing Address - Country:US
Mailing Address - Phone:650-589-3545
Mailing Address - Fax:650-589-4320
Practice Address - Street 1:363 EL CAMINO REAL STE 103
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5991
Practice Address - Country:US
Practice Address - Phone:650-589-3545
Practice Address - Fax:650-589-4320
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA438111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice