NPI | 1750465431 |
---|---|
Doing Business As | DR LUCKY LUCERO A PROFESSIONAL DENTAL CORPORATION |
Entity Type | Organization |
Authorized Contact | LUCKY LUCERO CEO 909-882-3745 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 039983) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2008-04-02 |