Organization
LUCAS PERRY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA A LUCAS DDS (DENTIST)
(313) 833-7309
Entity
Organization
Contact information
Practice address
4727 SAINT ANTOINE ST, SUITE 408, DETROIT, MI 48201-1461
(313) 833-7309
Mailing address
19242 BERDEN ST, HARPER WOODS, MI 48225-2402
(313) 646-8085
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
MI
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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