Provider Demographics
NPI:1063548733
Name:DE LUNA, KATHERINE GAIL (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:GAIL
Last Name:DE LUNA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 OCEAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-2606
Mailing Address - Country:US
Mailing Address - Phone:415-334-1737
Mailing Address - Fax:415-334-6834
Practice Address - Street 1:2439 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94127
Practice Address - Country:US
Practice Address - Phone:415-334-1737
Practice Address - Fax:415-334-6834
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA529761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice