Lumina LLC
Organization Active NPI Dental Clinic/Center · Mangilao, GU
NPI 1003418369 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1003418369
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- LUMINA LLC
- Practice address
- 353 Route 10 Ste 101
Mangilao, GU 96913-1392 - Phone
- (671) 969-4242
- NPI assigned
- Nov 12, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Sarah Lee Clegg, DDS
- Title
- Owner
- Phone
- (510) 283-3460
Practitioners 1
-
Sarah Lee Clegg, D.D.S
National Provider Directory
Locations
353 Route 10
Ste 101
Mangilao, GU 96913
Phone (671) 969-4242
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
353 Route 10 Ste 101
Mangilao, GU 96913-1392
Mailing address
PO Box 9868
Tamuning, GU 96931-5868
Phone (510) 283-3460
Other names
- Mangilao Dental Clinic
Other providers in Mangilao, GU
- Government of Guam Department of Administration
- Stephen Paul Guilliot
- Joon Ha
- Honey Rizza Ang Imbo
- Antoinette Marie Kleiner
- Janna Wilgus Manglona
- Jolan Su McNinch
- Newgen Aesthetics & Wellness, LLC
- Newgen Peak Performance, LLC
- Elizabeth Rabon
All providers in Mangilao, GU · Dental Clinic/Center in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.