Provider Demographics
NPI:1861899627
Name:DUNLAP, LUZ NEYLA (DDS)
Entity type:Individual
Prefix:
First Name:LUZ
Middle Name:NEYLA
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7932
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93031-7932
Mailing Address - Country:US
Mailing Address - Phone:805-220-3469
Mailing Address - Fax:
Practice Address - Street 1:451 W GONZALES RD STE 160
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0724
Practice Address - Country:US
Practice Address - Phone:805-220-3469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA641291223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice