Luna Dental Spa
Dentist in Ooltewah, TN. Organization (NPI-2).
NPI number1538091905
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1538091905
- Entity type
- Organization (NPI-2)
- Legal business name
- Luna Dental Spa
- Organization subpart
- No
- Enumeration date
- Jun 1, 2026
- Certification date
- Jun 1, 2026
- Last updated
- Jun 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
9203 Lee Hwy Ste 16Ooltewah, TN 37363-6459
Phone 423-414-3632
Mailing address
9203 Lee Hwy Ste 16Ooltewah, TN 37363-6459
Phone 423-414-3632
Authorized official
Ruchi Mukesh Patel
Owner Dentist
4233100075
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