Individual
DR. VICTORIA MONIQUE LUCAS-PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4727 SAINT ANTOINE ST, APT 6E, DETROIT, MI 48201-1461
(313) 833-7309
Mailing address
68 BRADHURST AVE, APT 6E, NEW YORK, NY 10039-3304
(810) 691-3567
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056249-1
NY
122300000X
Dentist
14902
MD
122300000X
Dentist
2901020509
MI
122300000X
Dentist
DEN1001086
DC
Other
Enumeration date
06/08/2011
Last updated
10/11/2012
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