Individual
EVELYN ORA LUCAS-PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4494 WARWICK CIRCLE DR, GRAND BLANC, MI 48439-8337
(810) 691-2869
Mailing address
4494 WARWICK CIRCLE DR, GRAND BLANC, MI 48439-8337
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020510
MI
Other
Enumeration date
03/11/2014
Last updated
03/11/2014
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