Organization
PEDIATRIC DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIANA LUCAS D.D.S. (PRESIDENT)
(320) 229-2222
Entity
Organization
Contact information
Practice address
151 19TH ST S, SARTELL, MN 56377-2153
(320) 229-2222
(888) 563-2069
Mailing address
151 19TH ST S, SARTELL, MN 56377-2153
(320) 229-2222
(888) 563-2069
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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