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1861235962
JONATHAN LUCAS
PEMBROKE PINES, FL
NPI
1861235962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL 25980)
Enumeration Date
2024-06-17
Last Update Date
2024-06-17
Business Address
JONATHAN LUCAS
10056 PINES BLVD
PEMBROKE PINES, FL 33024-6137
Phone number: 954-432-7223
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Mailing Address
JONATHAN LUCAS
11141 SW 64TH AVE
PINECREST, FL 33156-4068
Phone number: 305-772-8393
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