LAVAL ALONZO LUCAS-PERRY

DETROIT, MI
NPI1053952796
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902018904)
Enumeration Date2019-10-03
Last Update Date2019-10-03
Business Address
Mr. LAVAL ALONZO LUCAS-PERRY RDH
4727 SAINT ANTOINE ST STE 408
DETROIT, MI 48201-1461
Phone number: 313-833-7309
Mailing Address
Mr. LAVAL ALONZO LUCAS-PERRY RDH
4494 WARWICK CIRCLE DR
GRAND BLANC, MI 48439-8337
Phone number: 810-691-0245
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