Lucero Dds Inc. P.c. | |
1855 Austin Bluffs Pkwy Colorado Springs CO 80918-7880 | |
(719) 599-5980 | |
(719) 599-0691 |
Full Name | Lucero Dds Inc. P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1855 Austin Bluffs Pkwy, Colorado Springs, Colorado |
Authorized Official Name and Position | Orlando Juan Lucero (DENTIST/OWNER) |
Authorized Official Contact | 1795995980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lucero Dds Inc. P.c. 1855 Austin Bluffs Pkwy Colorado Springs CO 80918-7880 Ph: (719) 599-5980 | Lucero Dds Inc. P.c. 1855 Austin Bluffs Pkwy Colorado Springs CO 80918-7880 Ph: (719) 599-5980 |
NPI Number | 1104139773 |
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Provider Enumeration Date | 07/23/2010 |
Last Update Date | 07/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104139773 | NPI | - | NPPES |
04017570 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 80 (Colorado) | Primary |
1223G0001X | Dentist - General Practice | 7290 (Colorado) | Secondary |
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Co Specialty Dental Services Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 S Tejon St Ste 200, Colorado Springs, CO 80903 Phone: 719-596-3113 | |
Rand L. Redfern, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 669 Citadel Dr E, Colorado Springs, CO 80909 Phone: 719-599-9090 Fax: 719-573-9091 | |
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