Asandra, Luckana Theresa
Asandra, Luckana Theresa is an individual health care provider with primary practice located at 12A Westwoods Dr , Liberty MO 64068-3519. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Asandra, Luckana Theresa can be contacted via phone (816) 781-0993.Contact Information
Primary practice address
12A Westwoods Dr
Liberty MO 64068-3519
Phone: (816) 781-0993
Fax: (816) 781-0998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12884 | Missouri |
Profile Details
| NPI number | 1578508156 |
|---|---|
| LBN Legal business name | Asandra, Luckana Theresa |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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