Organization
LUCAS-PERRY DENTAL GROUP, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A. LUCAS D.D.S. (PRESIDENT)
(810) 691-2268
Entity
Organization
Contact information
Practice address
4160 JOHN R ST, SUITE 824, DETROIT, MI 48201-2020
(810) 691-2268
(810) 695-6728
Mailing address
4494 WARWICK CIRCLE DR, GRAND BLANC, MI 48439-8337
(810) 695-6621
(810) 695-6728
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901013084
MI
Other
Enumeration date
09/17/2006
Last updated
03/07/2023
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