Individual
DR. LUCIO LORENZO PERSICHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
540 S PARKER ST, MARINE CITY, MI 48039-3593
(810) 765-1440
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
(210) 691-3400
(216) 584-1442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901021298
MI
Other
Enumeration date
06/17/2014
Last updated
11/13/2019
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