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Organization
ANNA T. LUKIC, DDS, MS, PA
Active
Organization
ANNA T. LUKIC, DDS, MS, PA
Active
Other names
Dentistry at the Lake
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LUKIC (OWNER)
(704) 209-9913
Entity
Organization
Contact information
Practice address
548-5 WILLIAMSON ROAD, MOORESVILLE, NC 28117-2811
(704) 209-9913
Mailing address
548 WILLIAMSON RD STE 5, MOORESVILLE, NC 28117-9111
(704) 209-9913
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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