NPI 1487904215

Brian Thomas Lu, DDS

Practitioner Endodontics Ruidoso, NM

Practice location

Address: 200 Sudderth Dr STE C, Ruidoso, NM 88345-6001
Phone: (575) 258-4698

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence DD5523 (NM)

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Registry record

NPI: 1487904215
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2012
Record last updated: 11 Nov 2024

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.