| Dr Lucky Lucero A Professional Dental Corporation | |
|
1799 N Waterman Ave Suite D San Bernardino CA 92404 | |
| (909) 882-3745 | |
| Not Available |
| Full Name | Dr Lucky Lucero A Professional Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 1799 N Waterman Ave, San Bernardino, California |
| Authorized Official Name and Position | Lucky Lucero (CEO) |
| Authorized Official Contact | 9098823745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucky Lucero A Professional Dental Corporation 1799 N Waterman Ave Suite D San Bernardino CA 92404 Ph: (909) 882-3745 | Dr Lucky Lucero A Professional Dental Corporation 1799 N Waterman Ave Suite D San Bernardino CA 92404 Ph: (909) 882-3745 |
| NPI Number | 1750465431 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 04/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750465431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 039983 (California) | Primary |
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