Individual
DR. LUCIENNE PINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2821 ISLAND AVE, PHILADELPHIA, PA 19153-2300
(215) 492-9291
(215) 492-5856
Mailing address
2821 ISLAND AVE, PHILADELPHIA, PA 19153-2300
(215) 492-9291
(215) 492-5856
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS036824
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101747272
—
PA
Enumeration date
01/22/2007
Last updated
10/15/2015
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