Organization
BRANDON M. LACKOVICH DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON MICHAEL LACKOVICH DDS (DENTIST)
(724) 480-7363
Entity
Organization
Contact information
Practice address
3544 BRODHEAD RD, MONACA, PA 15061-3126
(724) 728-1212
Mailing address
122 MOFFETT RUN RD, ALIQUIPPA, PA 15001-9499
(724) 480-7363
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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