Individual provider · Type 1 NPI

Michael Gary Lum, DDS

Prosthodontics · San Diego, CA

NPI number 1619103546 Active

Practice location

12264 El Camino Real, Suite 306
San Diego, CA 92130-3058

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X53922 (CA)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1619103546

Michael Gary Lum, DDS's National Provider Identifier is 1619103546, issued on Jun 5, 2009. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in San Diego, CA. The record was last updated on Jun 5, 2009.