Provider Demographics
NPI:1205087509
Name:TORAASON, LUKE VINCENT (DDS)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:VINCENT
Last Name:TORAASON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1537 ROSECRANS ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2275
Mailing Address - Country:US
Mailing Address - Phone:619-223-1267
Mailing Address - Fax:619-223-1356
Practice Address - Street 1:1537 ROSECRANS ST
Practice Address - Street 2:SUITE B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-2275
Practice Address - Country:US
Practice Address - Phone:619-223-1267
Practice Address - Fax:619-223-1356
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-05
Last Update Date:2008-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA321881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice