Joseph A. Lucero D.d.s. Inc. | |
2575 Park Ln 101 Lafayette CO 80026-3336 | |
(303) 834-0615 | |
(303) 284-5579 |
Full Name | Joseph A. Lucero D.d.s. Inc. |
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Speciality | Dentist - Prosthodontics |
Location | 2575 Park Ln, Lafayette, Colorado |
Authorized Official Name and Position | Joseph Andrew Lucero (PRESIDENT) |
Authorized Official Contact | 3038340615 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Joseph A. Lucero D.d.s. Inc. 2575 Park Ln Ste 101 Lafayette CO 80026-3336 Ph: (303) 834-0615 | Joseph A. Lucero D.d.s. Inc. 2575 Park Ln 101 Lafayette CO 80026-3336 Ph: (303) 834-0615 |
NPI Number | 1386142420 |
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Provider Enumeration Date | 01/23/2018 |
Last Update Date | 08/02/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386142420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | 00203172 (Colorado) | Primary |
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