Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 034735 | CA |
NPI | 1225153893 |
---|---|
Provider Name | Dr. Gregory K Louie |
First Address | Danville, CA 94526-1741 |
Second Address | Danville, CA 94526-1741 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 03/06/2009 |