LUCAS JORDAN DICICCIO

FRESNO, CA
NPI1134835598
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA  105009)
Enumeration Date2023-01-27
Last Update Date2023-01-27
Business Address
Dr. LUCAS JORDAN DICICCIO DDS
7055 N FRESNO ST STE 302
FRESNO, CA 93720-2957
Phone number: 559-325-3300
Mailing Address
Dr. LUCAS JORDAN DICICCIO DDS
11378 N VIA MONTESSORI DR
FRESNO, CA 93730-8839
Phone number: 559-451-1873