Individual
ROBERT M LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
668 E 12225 S, SUITE 101, DRAPER, UT 84020-8340
(801) 553-9824
(801) 553-0471
Mailing address
668 E 12225 S, SUITE 101, DRAPER, UT 84020-8340
(801) 553-9824
(801) 553-0471
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2279701
UT
122300000X
Dentist
Primary
279701
UT
Other
Enumeration date
04/19/2007
Last updated
01/26/2023
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