Wesley R. Lucas, D.d.s. | |
1120 18th St Woodward OK 73801-2921 | |
(580) 256-6054 | |
Not Available |
Full Name | Wesley R. Lucas, D.d.s. |
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Speciality | Dentist - General Practice |
Location | 1120 18th St, Woodward, Oklahoma |
Authorized Official Name and Position | Wesley Lucas R (PRESIDENT) |
Authorized Official Contact | 5802566054 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wesley R. Lucas, D.d.s. 1120 18th St Woodward OK 73801-2921 Ph: () - | Wesley R. Lucas, D.d.s. 1120 18th St Woodward OK 73801-2921 Ph: (580) 256-6054 |
NPI Number | 1669694642 |
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Provider Enumeration Date | 05/02/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1669694642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3239 (Oklahoma) | Primary |
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