| NPI | 1922018050 |
|---|---|
| Other Name | ROBERT M LUCERO |
| Entity Type | Organization |
| Authorized Contact | ROBERT M LUCERO Owner President 801-553-9824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: UT 279701-9922) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-04-20 |