Individual
DR. LUCAS MCSHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
100 CHERRY STREET SE, HEART OF THE CITY HEALTH CENTER, GRAND RAPIDS, MI 49503-4130
(616) 965-8200
Mailing address
1003 N LAFAYETTE ST, GREENVILLE, MI 48838-1168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021828
MI
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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