IndividualActive
Amanda Lui
NPI 1699361998 · Dental Hygienist · San Rafael, CA
Provider details
- NPI number
- 1699361998
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 33031 (CA)
Specialties & taxonomies
Dental Providers
Practice location
3110 Kerner Blvd
San Rafael, CA 94901-5411
Phone: (415) 448-1500
Approximate (ZIP-level) locationGet directions
Mailing address
3110 Kerner Blvd
San Rafael, CA 94901-5411
Registry dates
- Enumerated
- 2020-12-21
- Last updated
- 2021-02-14
- Certified
- 2021-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.