Individual
DR. LUCAS PETER MATHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15024 LYONS ST, LIVONIA, MI 48154-3958
(248) 974-8779
Mailing address
15024 LYONS ST, LIVONIA, MI 48154-3958
(248) 974-8779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601013
MI
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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