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Individual

DR. JOHN J LUCIANI III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2675 E CUMBERLAND ST, PHILADELPHIA, PA 19125-3727
(215) 426-7307
(215) 695-2217
Mailing address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2655

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS042211
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1038338800002
PA
05
1038338800003
PA
Enumeration date
05/02/2019
Last updated
03/08/2022
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