Individual provider · Type 1 NPI

Modesto Luis, DDS

General Practice Dentistry · South Gate, CA

NPI number 1720134091 Active

Practice location

4444 Tweedy Blvd
South Gate, CA 90280-6304

Call (323) 564-2444 Map

Fax (323) 249-7565

Mailing address

5238 Los Caballeros Way
Los Angeles, CA 90027-1012

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X36401 (CA)

General Practice Dentistry: 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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About NPI 1720134091

Modesto Luis, DDS's National Provider Identifier is 1720134091, issued on Jan 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in South Gate, CA. The record was last updated on Jul 9, 2007.