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1225004880
ESTEBAN RICARDO LUGO
COON RAPIDS, MN
NPI
1225004880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D12334)
Enumeration Date
2006-02-24
Last Update Date
2007-07-08
Business Address
Dr. ESTEBAN RICARDO LUGO DMD
13040 RIVERDALE DR NW SUITE 600
COON RAPIDS, MN 55448-8406
Phone number: 763-323-3042
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Mailing Address
Dr. ESTEBAN RICARDO LUGO DMD
PO BOX 23029
RICHFIELD, MN 55423-0029
Phone number: 612-861-9123
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