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1134835598
LUCAS JORDAN DICICCIO
FRESNO, CA
NPI
1134835598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 105009)
Enumeration Date
2023-01-27
Last Update Date
2023-01-27
Business Address
Dr. LUCAS JORDAN DICICCIO DDS
7055 N FRESNO ST STE 302
FRESNO, CA 93720-2957
Phone number: 559-325-3300
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Mailing Address
Dr. LUCAS JORDAN DICICCIO DDS
11378 N VIA MONTESSORI DR
FRESNO, CA 93730-8839
Phone number: 559-451-1873
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