Organization
DR. TATIANA LUCAS, DDS FAMILY DENTISTRY, PLLC
Active
Other names
Prime Dental
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA O LUCAS DDS (DENTIST OWNER)
(724) 547-0690
Entity
Organization
Contact information
Practice address
272 CROSS ROADS PLZ, MOUNT PLEASANT, PA 15666-2288
(724) 547-0690
Mailing address
272 CROSSROADS PLZ UNIT 4, MOUNT PLEASANT, PA 15666-2288
(724) 547-0690
(724) 547-1918
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033533390001
—
PA
Enumeration date
07/27/2017
Last updated
06/17/2020
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