Lucero Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

35947 Issued in CA

Legal business name

LUCERO DENTAL CLINIC

Practice address

12833 Harbor Blvd
Suite F 3
Garden Grove, CA 92840-5806

Phone

(714) 534-9480

Fax

(714) 534-9482

NPI assigned

Mar 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Martha R Lucero, DDS

Title

Owner and President

Phone

(714) 534-9480

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1104955475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12833 HARBOR BLVD",
            "address_2": "SUITE F 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405806",
            "telephone_number": "714-534-9480",
            "fax_number": "714-534-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12833 HARBOR BLVD",
            "address_2": "SUITE F 3",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405806",
            "telephone_number": "714-534-9480",
            "fax_number": "714-534-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCERO DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER AND PRESIDENT",
        "authorized_official_telephone_number": "714-534-9480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "35947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PO-an Lu, PHARM.D, RPH, CGP
• Anahi Luases
• Joana Lucas Rodriguez
• Karen Lucas
• Minnie R Lucas
• Aubry Lucero
• Martha R. Lucero, D.D.S.
• Evelyn Lucho
• Georgette Luciano
• Alyanna Louise D. Lugay

• General Practice Dentistry in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.