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Individual

DR. JOANNA SUSAN LUCIANO PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

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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