Lucero Dental Clinic
NPI #1104955475 in Garden Grove, California
Provider Information
- NPI Number
- 1104955475
- Entity Type
- Organization
- Organization Name
- Lucero Dental Clinic
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 5, 2007
- Last Updated
- Feb 8, 2012
Practice Location
- Address
- 12833 HARBOR BLVD
- Address 2
- SUITE F 3
- City
- Garden Grove
- State
- California
- ZIP Code
- 92840-5806
- Phone
- (714) 534-9480
Authorized Official
- Name
- DR. MARTHA R LUCERO, DDS
- Title
- OWNER AND PRESIDENT
- Phone
- (714) 534-9480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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