Organization
LUCERO DDS INC. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ORLANDO JUAN LUCERO DDS (DENTIST/OWNER)
(179) 599-5980
Entity
Organization
Contact information
Practice address
1855 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-7880
(719) 599-5980
(719) 599-0691
Mailing address
1855 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-7880
(719) 599-5980
(719) 599-0691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7290
CO
1223G0001X
General Practice Dentistry
Primary
80
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04017570
—
CO
Enumeration date
07/23/2010
Last updated
07/23/2010
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