Individual
DR. MARIAN T LUCERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
824 HIGHWAY 60, SOCORRO, NM 87801-3919
(575) 835-2342
(575) 835-2207
Mailing address
824 HIGHWAY 60, PO BOX 124, SOCORRO, NM 87801-3919
(575) 835-2342
(575) 835-2207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
NM 1552
NM
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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