Lucachick Dental Office, P.a. | |
501 3rd St International Falls MN 56649-2305 | |
(218) 285-7822 | |
(218) 285-7822 |
Full Name | Lucachick Dental Office, P.a. |
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Speciality | Clinic/center - Dental |
Location | 501 3rd St, International Falls, Minnesota |
Authorized Official Name and Position | Gary Robert Lucachick (OWNER DENTIST PRESIDENT) |
Authorized Official Contact | 2182857822 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lucachick Dental Office, P.a. 501 3rd St International Falls MN 56649-2305 Ph: (218) 285-7822 | Lucachick Dental Office, P.a. 501 3rd St International Falls MN 56649-2305 Ph: (218) 285-7822 |
NPI Number | 1346307394 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346307394 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Corrin Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1570 Highway 71, International Falls, MN 56649 Phone: 218-285-7078 |