Individual
DR. LUCAS ENRIQUE MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2710 WILLIAM PENN HWY, EASTON, PA 18045-5268
(610) 253-4343
Mailing address
2710 WILLIAM PENN HWY, EASTON, PA 18045-5268
(610) 253-4343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038216
PA
Other
Enumeration date
06/16/2010
Last updated
01/17/2011
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