Draper Dental PC

NPI #1922018050 in Draper, Utah

Provider Information

NPI Number
1922018050
Entity Type
Organization
Organization Name
Draper Dental PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 9, 2006
Last Updated
Apr 20, 2017

Practice Location

Address
668 E 12225 S
Address 2
SUITE 101
City
Draper
State
Utah
ZIP Code
84020-8340
Phone
(801) 553-9824

Authorized Official

Name
DR. ROBERT M LUCERO, DDS
Title
OWNER PRESIDENT
Phone
(801) 553-9824

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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