Organization
LUCACHICK DENTAL OFFICE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ROBERT LUCACHICK D.D.S. (OWNER DENTIST PRESIDENT)
(218) 285-7822
Entity
Organization
Contact information
Practice address
501 3RD ST, INTERNATIONAL FALLS, MN 56649-2305
(218) 285-7822
(218) 285-7822
Mailing address
501 3RD ST, INTERNATIONAL FALLS, MN 56649-2305
(218) 285-7822
(218) 285-7822
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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