Individual
LUCAS DARVY MCGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-8876
Mailing address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-8876
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
RES.3168
OH
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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