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Individual
DR. ALLICIA LUCICH
Active
Individual
DR. ALLICIA LUCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11441
SC
122300000X
Dentist
DN122566
GA
1223G0001X
General Practice Dentistry
12371717-9921
UT
Other
Enumeration date
08/02/2021
Last updated
08/13/2026
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