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Dr. Modesto Luis, DDS
General Practice Dentistry in South Gate, California
NPI 1720134091

Modesto Luis is a General Practice Dentistry based in Los Angeles, CA and is specialized in General Practice. Modesto Luis practices in South Gate, CA and has the professional credentials of DDS. The NPI Number for Modesto Luis is 1720134091 and holds a License No. 36401 (California).

The current practice location address for Modesto Luis is 4444 Tweedy Blvd, South Gate, CA and can be reached out via phone at 323-564-2444 and via fax at 323-249-7565.

Location: 4444 Tweedy Blvd, South Gate, CA, 90027-1012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720134091
Provider Name
Modesto Luis
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
4444 Tweedy Blvd, South Gate, CA, 90027-1012
Phone Number
323-564-2444
Fax Number
323-249-7565
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D36401 05 CA
institution
Provider Business Practice Location Address Details
Address
4444 Tweedy Blvd
City
South Gate
State
California
Zip
90280-6304
Phone Number
323-564-2444
Fax Number
323-249-7565
person
Provider Business Mailing Address Details
Address
4444 Tweedy Blvd
City
South Gate
State
California
Zip
90280-6304
Phone Number
323-564-2444
Fax Number
323-249-7565
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
36401 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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