Individual provider · Type 1 NPI

Enedelia Lucio, RDH

Dental Hygienist · Detroit, MI

NPI number 1578820965 Active

Practice location

5716 Michigan Ave
Detroit, MI 48210-3039

Call (313) 554-3880 Map

Fax (313) 899-3550

Mailing address

559 W Grand Blvd
Detroit, MI 48216-2200

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X2902009780 (MI)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1578820965

Enedelia Lucio, RDH's National Provider Identifier is 1578820965, issued on Apr 23, 2012. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Detroit, MI. The record was last updated on Apr 23, 2012.