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Individual
RICHARD BERNARD LUCZAK
Active
Individual
RICHARD BERNARD LUCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19398
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
870515
UNITED CONCORDIA
—
Enumeration date
03/04/2009
Last updated
07/21/2022
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