Individual
DR. LUCAS CHARLES HOMICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
UNIT 26610, WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
(931) 804-2524
Mailing address
UNIT 26610, WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE, APO AE, NY 09244
(931) 804-3933
(931) 804-2524
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
03538
NH
Other
Enumeration date
09/08/2006
Last updated
07/08/2007
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