Individual
DR. ESTEBAN RICARDO LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13040 RIVERDALE DR NW, SUITE 600, COON RAPIDS, MN 55448-8406
(763) 323-3042
(763) 576-3139
Mailing address
PO BOX 23029, RICHFIELD, MN 55423-0029
(612) 861-9123
(612) 861-9155
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D12334
MN
Other
Enumeration date
02/24/2006
Last updated
07/08/2007
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