Fred R Lucas DDS INC

NPI #1154414456 in Watonga, Oklahoma

Provider Information

NPI Number: 1154414456
Entity Type: Organization
Organization Name: Fred R Lucas DDS INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 321 N NASH
City: Watonga
State: Oklahoma
ZIP Code: 73772-0570
Phone: (580) 623-7397

Authorized Official

Name: DR. FRED R LUCAS JR., DDS
Title: PRESIDENT
Phone: (580) 623-7397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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