NPI 1003418369

Lumina LLC

Organisation Dental Clinic/Center Mangilao, GU

Practice location

Address: 353 Route 10 STE 101, Mangilao, GU 96913-1392
Phone: (671) 969-4242
Mailing address: PO Box 9868, Tamuning, GU 96931-5868

Authorised official

Name: Sarah Lee Clegg
Title: Owner
Phone: (510) 283-3460

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Guam →

Registry record

NPI: 1003418369
Entity type: Organization
NPI issued: 12 Nov 2020
Record last updated: 13 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.