Provider Demographics
NPI:1063611077
Name:LOUIE, FRANKLIN JUE (DDS)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:JUE
Last Name:LOUIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1253 BELLAVISTA DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-2843
Mailing Address - Country:US
Mailing Address - Phone:626-497-7999
Mailing Address - Fax:
Practice Address - Street 1:4200 TRABUCO RD STE 110
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3617
Practice Address - Country:US
Practice Address - Phone:949-559-1178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADS028750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist