Individual
LUCAS PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3531 WASHINGTON ST, SUITE 102, BOSTON, MA 02130
(617) 524-7860
(617) 524-7861
Mailing address
8 MARBURY TERRACE, UNIT 2, BOSTON, MA 02130
(617) 959-0079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN4196
ME
1223P0300X
Periodontics
04512
NH
1223P0300X
Periodontics
Primary
DEN4196
ME
1223P0300X
Periodontics
DN1857178
MA
Other
Enumeration date
07/02/2010
Last updated
02/02/2022
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