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Organization
LUCERO DENTAL CLINIC
Active
Organization
LUCERO DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA R LUCERO DDS (OWNER AND PRESIDENT)
(714) 534-9480
Entity
Organization
Contact information
Practice address
12833 HARBOR BLVD, SUITE F 3, GARDEN GROVE, CA 92840-5806
(714) 534-9480
(714) 534-9482
Mailing address
12833 HARBOR BLVD, SUITE F 3, GARDEN GROVE, CA 92840-5806
(714) 534-9480
(714) 534-9482
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35947
CA
Other
Enumeration date
03/05/2007
Last updated
02/08/2012
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