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Organization
LUC DENTAL INC.
Active
Organization
LUC DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYLENE LUC (OWNER)
(916) 502-0884
Entity
Organization
Contact information
Practice address
8101 LAGUNA BLVD, 2, ELK GROVE, CA 95758-8202
(916) 684-1922
Mailing address
9881 IZILDA CT, SACRAMENTO, CA 95829-8167
(916) 502-0884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51569
CA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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