Organization
JAMES M LUKACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTI NMI GREIF (OFFICE COORDINATOR)
(509) 783-8161
Entity
Organization
Contact information
Practice address
7405 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-6708
(509) 783-8161
(509) 783-0327
Mailing address
7405 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-6708
(509) 783-8161
(509) 783-0327
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5851
WA
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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