DR. Lucas Charles Homicz, DDS

NPI #1366546590 in Apo Ae, New York

Provider Information

NPI Number: 1366546590
Entity Type: Individual
Name: DR. Lucas Charles Homicz, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: UNIT 26610
Address 2: WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE
City: Apo Ae
State: New York
ZIP Code: 09244
Phone: (931) 804-3933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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