Individual
GRACE KATHRYN LUCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
832 BROAD ST, SUMMERSVILLE, WV 26651-1758
(304) 872-3919
Mailing address
832 BROAD ST, SUMMERSVILLE, WV 26651-1758
(304) 872-3919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4888
WV
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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