Provider Demographics
NPI:1427243526
Name:LU, YING (DDS)
Entity type:Individual
Prefix:
First Name:YING
Middle Name:
Last Name:LU
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 1:1001 PARTRIDGE DR
Mailing Address - Street 2:SUITE #210
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-5562
Mailing Address - Country:US
Mailing Address - Phone:805-644-9501
Mailing Address - Fax:805-644-1108
Practice Address - Street 1:1001 PARTRIDGE DR
Practice Address - Street 2:SUITE #210
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-5562
Practice Address - Country:US
Practice Address - Phone:805-644-9501
Practice Address - Fax:805-644-1148
Is Sole Proprietor?:No
Enumeration Date:2007-09-11
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA560661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice