Organization
MORNINGSTAR FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN LUCERO DDS (DENTIST)
(505) 506-8659
Entity
Organization
Contact information
Practice address
1005 MAIN ST SW, LOS LUNAS, NM 87031-8310
(505) 865-9438
Mailing address
1005 MAIN ST SW, LOS LUNAS, NM 87031-8310
(505) 865-9438
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DD1879
NM
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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