| NPI | 1942420674 |
|---|---|
| Doing Business As | LUSK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | K. JARED LUSK President 505-325-8401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |