Individual
DR. LUCKANA THERESA ASANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12A WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 781-0993
(816) 781-0998
Mailing address
12A WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 781-0993
(816) 781-0998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12884
MO
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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