Most Relevant Information
Provider Data
| NPI Number: | 1003454489 |
| Provider Name: | EMMELINE LUI RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 30679 |
Most Important Dates
| Enumeration Date: | 12/16/2019 |
| Last Updated: | 02/16/2021 |
Provider Practice Location
3110 KERNER BLVD
SAN RAFAEL
CA
949015411
Practice Location Phone/Fax
| Phone: | 4154481500 |
| Fax: |
Provider Mailing Location
3110 KERNER BLVD STE B
SAN RAFAEL
CA
949015411
Provider Mailing Phone/Fax
| Phone: | 4154481500 |
| Fax: |