Provider Demographics
NPI:1215231212
Name:LUCAR, HERNAN E (DDS)
Entity Type:Individual
Prefix:
First Name:HERNAN
Middle Name:E
Last Name:LUCAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7921 DELPHINIUM CIR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-1902
Mailing Address - Country:US
Mailing Address - Phone:714-821-8329
Mailing Address - Fax:
Practice Address - Street 1:7921 DELPHINIUM CIR
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-1902
Practice Address - Country:US
Practice Address - Phone:714-821-8329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-05
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA600871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice