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Organization
LUCID DENTAL PA
Active
Organization
LUCID DENTAL PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFINI STRATTON DDS (OWNER)
(210) 269-3195
Entity
Organization
Contact information
Practice address
8435 WURZBACH RD STE 302, SAN ANTONIO, TX 78229-3374
(210) 899-6730
(833) 776-0625
Mailing address
8435 WURZBACH RD STE 302, SAN ANTONIO, TX 78229-3374
(210) 899-6730
(833) 776-0625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23428
TX
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/21/2010
Last updated
04/10/2026
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