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DR. JOSEPH LUCERO D.D.S.

Prosthodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1427465178

Individual Registrant:
DR. JOSEPH  LUCERO D.D.S.
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: --

Contact information for business:
10 RUPERT ST  MONTE VISTA, CO 81144-1042 US
Tel: (71-9) -852-2552  Fax: --

Registration Information:
NPI: 1427465178
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1223P0700XDental Providers
Dentist
Prosthodontics
MND13460
Y1223P0700XDental Providers
Dentist
CO00203172

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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