# ALOHA DENTAL PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Lucky Lucero A Professional Dental Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750465431
- **Authorized official:** DR. LUCKY LUCERO DDS (CEO)
- **Authorized official phone:** (909) 882-3745

## Contact information

- **Practice address:** 1799 N WATERMAN AVE, SUITE D, SAN BERNARDINO, CA 92404
- **Practice address phone:** (909) 882-3745
- **Mailing address:** 1799 N WATERMAN AVE, SUITE D, SAN BERNARDINO, CA 92404
- **Mailing address phone:** (909) 882-3745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 039983 | CA | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 04/02/2008