Individual
DR. CONRAD PHILLIP LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
204 E OLIVE AVE, REDLANDS, CA 92373-5252
(909) 307-0707
(909) 307-0733
Mailing address
204 E OLIVE AVE, REDLANDS, CA 92373-5252
(909) 307-0707
(909) 307-0733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
031491
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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