The Dentist Off Main, Pllc
NPI #1396184693 in Grapevine, Texas
Provider Information
- NPI Number
- 1396184693
- Entity Type
- Organization
- Organization Name
- The Dentist Off Main, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 19, 2013
- Last Updated
- Jun 19, 2013
Practice Location
Authorized Official
- Name
- MR. RICHARD BERNARD LUCZAK, DDS, MPH
- Title
- CEO
- Phone
- (817) 527-1590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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