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Individual

DR. SETH ADAM LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2210
(415) 476-2841
(415) 514-0377
Mailing address
707 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2210
(415) 476-2841
(415) 514-0377

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
61404
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
943191406
CA
Enumeration date
09/11/2012
Last updated
09/11/2012
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