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Lucas Chemale Kalil Fogaca

NPI Registration Record

Provider / OrganizationNPIDate Certified
LUCAS CHEMALE KALIL FOGACA11347964442021-06-06

Lucas Chemale Kalil Fogaca is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1134796444. Registration indicates Lucas Chemale Kalil Fogaca is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, )

Entity TypeIndividual
Provider NameDr. Lucas Chemale Kalil Fogaca DDS
Practice Office Address1717 SHIPYARD BLVD STE 120
WILMINGTON, NC US
Practice Office Telephone9103131511
Mailing Address1717 SHIPYARD BLVD STE 120
WILMINGTON, NC 284038019 US
HPT Codes
CodePractice
License No
State
1223G0001X PRIMARYAccess to Dentists-General
Dental Providers
Dentist
Dental Providers
Dentist
Dentist: General Practice

Dental

Dentist General Practice
Dental Providers
Dentist
12220
NC
OPI Codes

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