Individual
REUBEN LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4323 CHAMPION HILL ST, COLUMBIA, SC 29207-6022
(803) 751-1624
Mailing address
1403 VERONA WAY, COLUMBIA, SC 29229-8297
(801) 577-7444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10354
IA
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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