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Charles Joseaph Lucero, DDS
General Practice Dentistry in Kingman, Arizona
NPI 1710988787

Charles Joseaph Lucero is a General Practice Dentistry based in Kingman, AZ and is specialized in General Practice. Charles Joseaph Lucero practices in Kingman, AZ and has the professional credentials of DDS. The NPI Number for Charles Joseaph Lucero is 1710988787 and holds a License No. D4688 (Arizona).

The current practice location address for Charles Joseaph Lucero is 1751 N Stockton Hill Rd, Kingman, AZ and can be reached out via phone at 928-718-8668 and via fax at 928-718-2106.

Location: 1751 N Stockton Hill Rd, Kingman, AZ, 86401-6601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710988787
Provider Name
Charles Joseaph Lucero
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1751 N Stockton Hill Rd, Kingman, AZ, 86401-6601
Phone Number
928-718-8668
Fax Number
928-718-2106
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
356601 01 AZ ARIZONA PHYSICIANS IPA,
institution
Provider Business Practice Location Address Details
Address
1751 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86401-6601
Phone Number
928-718-8668
Fax Number
928-718-2106
person
Provider Business Mailing Address Details
Address
1751 N Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86401-6601
Phone Number
928-718-8668
Fax Number
928-718-2106
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D4688 (Arizona)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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