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Individual

DR. MARIO S LUCCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
185 DARTMOUTH ST STE 403, BOSTON, MA 02116-5883
(617) 300-0345
(617) 993-6970
Mailing address
185 DARTMOUTH ST STE 403, BOSTON, MA 02116-5883
(617) 300-0345
(617) 993-6970

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20676
MA

Other

Enumeration date
02/20/2008
Last updated
06/21/2016
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