LUCIENNE PARK

PHOENIX, AZ
NPI1497323315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-06-16
Last Update Date2024-07-08
Business Address
LUCIENNE PARK DMD
230 S 12TH AVE
PHOENIX, AZ 85007-3101
Phone number: 602-362-0744
Mailing Address
LUCIENNE PARK DMD
230 S 12TH AVE
PHOENIX, AZ 85007-3101
Phone number: