DR. Jessica Lucovich, DDS

NPI #1275973067 in Horn Lake, Mississippi

Provider Information

NPI Number: 1275973067
Entity Type: Individual
Name: DR. Jessica Lucovich, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 26, 2013
Last Updated: Aug 21, 2014

Practice Location

Address: 2154 GOODMAN RD W
City: Horn Lake
State: Mississippi
ZIP Code: 38637-1303
Phone: (662) 393-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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