Lucero, Conrad Phillip
Lucero, Conrad Phillip is an sole proprietor health care provider with primary practice located at 204 E Olive Ave , Redlands CA 92373-5252. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lucero, Conrad Phillip can be contacted via phone (909) 307-0707.Contact Information
Primary practice address
204 E Olive Ave
Redlands CA 92373-5252
Phone: (909) 307-0707
Fax: (909) 307-0733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 031491 | California |
Profile Details
| NPI number | 1821125626 |
|---|---|
| LBN Legal business name | Lucero, Conrad Phillip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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