Organization
ANGELO LUCKETT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO LUCKETT DDS (PRES)
(918) 423-2286
Entity
Organization
Contact information
Practice address
245 MAIN STREET, 245 MAIN STREET, KREBS, OK 74554
(918) 423-2286
(918) 423-3506
Mailing address
PO BOX 8, 245 MAIN STREET, KREBS, OK 74554
(918) 423-2286
(918) 423-3506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2853
OK
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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