Organization
ANNA T. LUKIC, DDS, MS, PA
Active
Other names
Dentistry at the Lake
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LUKIC (OWNER)
(704) 209-9913
Entity
Organization
Contact information
Practice address
548-5 WILLIAMSON ROAD, MOORESVILLE, NC 28117-2811
(704) 209-9913
Mailing address
548 WILLIAMSON RD STE 5, MOORESVILLE, NC 28117-9111
(704) 209-9913
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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