Organization
WESLEY R. LUCAS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESLEY LUCAS R D.D.S. (PRESIDENT)
(580) 256-6054
Entity
Organization
Contact information
Practice address
1120 18TH ST, WOODWARD, OK 73801-2921
(580) 256-6054
Mailing address
1120 18TH ST, WOODWARD, OK 73801-2921
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3239
OK
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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