Organization
JOANNA S. LUCIANO PARKER, DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA SUSAN LUCIANO PARKER DDS (GENERAL DENTIST)
(304) 579-7508
Entity
Organization
Contact information
Practice address
46 TRIFECTA PL STE 102, CHARLES TOWN, WV 25414-5652
(304) 725-0508
(304) 728-8761
Mailing address
46 TRIFECTA PL STE 102, CHARLES TOWN, WV 25414-5652
(304) 725-0508
(304) 728-8761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06586
—
WV
Enumeration date
01/24/2014
Last updated
01/24/2014
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