Setiady, Lucas B.

Setiady, Lucas B. is an sole proprietor health care provider with primary practice located at 12555 Central Ave Ste B , Chino CA 91710-3569. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Setiady, Lucas B. can be contacted via phone (909) 627-0988.

Contact Information

Primary practice address
12555 Central Ave Ste B Chino CA 91710-3569
Fax: (909) 627-8269
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 35548 California

Profile Details

NPI number 1497870240
LBN Legal business name Setiady, Lucas B.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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