Lucas-perry Dental Group, P.l.l.c.

NPI 1275630923 - Dentist - 1223G0001X

NPI Details
NPI 1275630923
Enumeration Date 09/17/2006
Last Updated 08/18/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICIA A. PATRICIA
Position PRESIDENT
Phone (810) 691-2268
Fax (810) 695-6728
Practice Location
4160 JOHN R ST
SUITE 824
DETROIT MI, 48201-2020, US
Phone (810) 691-2268
Fax (810) 695-6728
Business Location
4494 WARWICK CIRCLE DR
GRAND BLANC MI, 48439-8337, US
Phone (810) 695-6621
Fax (810) 695-6728
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 2901013084
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According to our database, Lucas-perry Dental Group, P.l.l.c. NPI is 1275630923, taxonomy code is 1223G0001X and license number is 2901013084, license state is located at Michigan. Lucas-perry Dental Group, P.l.l.c. physically located at 4160 John R St, Detroit MI, 48201-2020. NPI Number 1033115704 has the healthcare provider type.

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1275630923 NPI number is provided on an as is basis without warranty of any kind. 1275630923 is maintained by the National Plan & Provider Enumeration System. The contents of Lucas-perry Dental Group, P.l.l.c. are for informational purposes only.