Lucky Dental Pllc

NPI #1013289065 in Irving, Texas

Provider Information

NPI Number
1013289065
Entity Type
Organization
Organization Name
Lucky Dental Pllc
Primary Specialty
Dentist
Enumeration Date
Feb 7, 2012
Last Updated
Feb 7, 2012

Practice Location

Address
7301 STATE HIGHWAY 161 STE 198
City
Irving
State
Texas
ZIP Code
75039-2880
Phone
(972) 869-3789

Authorized Official

Name
MARY PU
Title
VP OF FINANCE
Phone
(972) 869-3789

Specialties & Taxonomy Codes

Specialty
Dentist

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