Individual
DR. JOANNA SUSAN LUCIANO PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
46 TRIFECTA PL STE 102, CHARLES TOWN, WV 25414-4958
(304) 725-0508
(304) 728-8761
Mailing address
46 TRIFECTA PL STE 102, CHARLES TOWN, WV 25414-4958
(304) 725-0508
(304) 728-8761
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3708
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06586
—
WV
Enumeration date
04/26/2007
Last updated
01/16/2014
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