Individual
DR. MICHAEL A. LACERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1686 S 350 W, OREM, UT 84058-7549
(801) 822-7134
Mailing address
1686 S 350 W, OREM, UT 84058-7549
(801) 822-7134
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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