| Lucas Perry Dental Group | |
|
4727 Saint Antoine St Suite 408 Detroit MI 48201-1461 | |
| (313) 833-7309 | |
| Not Available |
| Full Name | Lucas Perry Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4727 Saint Antoine St, Detroit, Michigan |
| Authorized Official Name and Position | Patricia A Lucas (DENTIST) |
| Authorized Official Contact | 3138337309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Perry Dental Group 19242 Berden St Harper Woods MI 48225-2402 Ph: (313) 646-8085 | Lucas Perry Dental Group 4727 Saint Antoine St Suite 408 Detroit MI 48201-1461 Ph: (313) 833-7309 |
| NPI Number | 1386098663 |
|---|---|
| Provider Enumeration Date | 04/22/2016 |
| Last Update Date | 04/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386098663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Michigan) | Primary |
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