Individual
MARY E LUCIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2201 STATE STREET, ALTON, IL 62002
(618) 462-8123
(618) 462-1003
Mailing address
2201 STATE STREET, ALTON, IL 62002
(618) 462-8123
(618) 462-1003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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