| Dr Marian T Lucero | |
|
824 Highway 60 Socorro NM 87801 | |
| (505) 835-2342 | |
| (505) 835-2207 |
| Full Name | Dr Marian T Lucero |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 824 Highway 60, Socorro, New Mexico |
| Authorized Official Name and Position | Marian T Lucero (PRESIDENT OWNER DENTIST) |
| Authorized Official Contact | 5058352342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marian T Lucero Po Box 124 Socorro NM 87801-0124 Ph: (505) 835-2342 | Dr Marian T Lucero 824 Highway 60 Socorro NM 87801 Ph: (505) 835-2342 |
| NPI Number | 1164541272 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164541272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1552 (New Mexico) | Primary |
New Mexico Dental Institute Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204b Neel Ave, Socorro, NM 87801 Phone: 575-993-5032 Fax: 505-226-9697 | |
Socorro Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 204b Neel Ave, Socorro, NM 87801 Phone: 267-318-6667 |