Individual
DR. LUCAS AUSTEN TRERICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
505 WASHINGTON ST SE APT 1, OLYMPIA, WA 98501-9302
(702) 369-2499
Mailing address
505 WASHINGTON ST SE APT 1, OLYMPIA, WA 98501-9302
(702) 369-2499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 00010762
WA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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