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DR. JOSEPH LUCERO D.D.S.
Prosthodontics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1427465178
Individual Registrant:DR. JOSEPH LUCERO D.D.S.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
10 RUPERT ST MONTE VISTA, CO 81144-1042 US
Tel: (71-9) -852-2552 Fax: --
Tel: (71-9) -852-2552 Fax: --
Contact information for business:
10 RUPERT ST MONTE VISTA, CO 81144-1042 US
Tel: (71-9) -852-2552 Fax: --
Tel: (71-9) -852-2552 Fax: --
Registration Information:
NPI: 1427465178
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223P0700X | Dental Providers Dentist Prosthodontics | MN | D13460 |
| Y | 1223P0700X | Dental Providers Dentist | CO | 00203172 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
