Individual
DR. ALLICIA LUCICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
USA DENTAC, FORT GORDON, GA 30905
(706) 544-2051
Mailing address
4110 BUFFALO TRL, EVANS, GA 30809-0959
(530) 415-9862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN122566
GA
1223G0001X
General Practice Dentistry
12371717-9921
UT
Other
Enumeration date
08/02/2021
Last updated
11/25/2025
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