| NPI | 1598485740 |
|---|---|
| Doing Business As | LUCK DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | AMANDA LUCK Owner 360-459-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |