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Individual

DR. TATIANA O LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
272 CROSS ROADS PLZ, MOUNT PLEASANT, PA 15666
(724) 547-0690
(724) 547-1918
Mailing address
272 CROSS ROADS PLZ, MOUNT PLEASANT, PA 15666-2288
(724) 547-0690
(724) 547-1918

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041087
PA
122300000X
Dentist
WV4232
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1032153500002
PA
Enumeration date
08/26/2016
Last updated
06/17/2020
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