Conrad Phillip Lucero D.D.S.

NPI 1821125626 - Dentist - 1223G0001X

NPI Details
NPI 1821125626
Gender Male
Enumeration Date 02/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
204 E OLIVE AVE
REDLANDS CA, 92373-5252, US
Phone (909) 307-0707
Fax (909) 307-0733
Business Location
204 E OLIVE AVE
REDLANDS CA, 92373-5252, US
Phone (909) 307-0707
Fax (909) 307-0733
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 031491
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According to our database, Dr. Conrad Phillip Lucero D.D.S. NPI is 1821125626, taxonomy code is 1223G0001X and license number is 031491, license state is located at California. Conrad Phillip Lucero D.D.S. physically located at 204 E Olive Ave, Redlands CA, 92373-5252. NPI Number Conrad Phillip Lucero D.D.S. has the Individual type.

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1821125626 NPI number is provided on an as is basis without warranty of any kind. 1821125626 is maintained by the National Plan & Provider Enumeration System. The contents of Conrad Phillip Lucero D.D.S. are for informational purposes only.