DR. David M Luciw

NPI #1336359579 in Waterford, Michigan

Provider Information

NPI Number: 1336359579
Entity Type: Individual
Name: DR. David M Luciw
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: May 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4914 HIGHLAND RD
City: Waterford
State: Michigan
ZIP Code: 48328-1142
Phone: (248) 673-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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