Lucachick Dental Office, P.a.
NPI #1346307394 in International Falls, Minnesota
Provider Information
- NPI Number
- 1346307394
- Entity Type
- Organization
- Organization Name
- Lucachick Dental Office, P.a.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 501 3RD ST
- State
- Minnesota
- ZIP Code
- 56649-2305
- Phone
- (218) 285-7822
Authorized Official
- Name
- DR. GARY ROBERT LUCACHICK, D.D.S.
- Title
- OWNER DENTIST PRESIDENT
- Phone
- (218) 285-7822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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