Erick Suryadi Lukman D.M.D.

NPI 1265767719 - Dentist - 1223G0001X

NPI Details
NPI 1265767719
Gender Male
Enumeration Date 10/15/2009
Last Updated 05/02/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
2480 MISSION ST STE 325
SAN FRANCISCO CA, 94110-2463, US
Phone (415) 285-7700
Fax (415) 285-7755
Business Location
1124 EDDY ST UNIT A
SAN FRANCISCO CA, 94109-7669, US
Phone (858) 232-2089
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 58758
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According to our database, Erick Suryadi Lukman D.M.D. NPI is 1265767719, taxonomy code is 1223G0001X and license number is 58758, license state is located at California. Erick Suryadi Lukman D.M.D. physically located at 2480 Mission St Ste 325, San Francisco CA, 94110-2463. NPI Number Erick Suryadi Lukman D.M.D. has the Individual type.

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1265767719 NPI number is provided on an as is basis without warranty of any kind. 1265767719 is maintained by the National Plan & Provider Enumeration System. The contents of Erick Suryadi Lukman D.M.D. are for informational purposes only.