| Dr Toni J Lucero Dds Llc | |
|
1855 Austin Bluffs Pkwy Colorado Springs CO 80918-7880 | |
| (719) 599-5980 | |
| (719) 599-0691 |
| Full Name | Dr Toni J Lucero Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1855 Austin Bluffs Pkwy, Colorado Springs, Colorado |
| Authorized Official Name and Position | Toni Jon Lucero (DENTIST OWNER) |
| Authorized Official Contact | 7195995980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Toni J Lucero Dds Llc 1855 Austin Bluffs Pkwy Colorado Springs CO 80918-7880 Ph: (719) 599-5980 | Dr Toni J Lucero Dds Llc 1855 Austin Bluffs Pkwy Colorado Springs CO 80918-7880 Ph: (719) 599-5980 |
| NPI Number | 1629681275 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629681275 | NPI | - | NPPES |
| 02072908 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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