Provider Demographics
NPI:1588469258
Name:FLORES, LUCIANA (DDS)
Entity type:Individual
Prefix:
First Name:LUCIANA
Middle Name:
Last Name:FLORES
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 TALCOTT RD STE 60
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-8122
Mailing Address - Country:US
Mailing Address - Phone:802-878-9888
Mailing Address - Fax:802-878-8383
Practice Address - Street 1:75 TALCOTT RD STE 60
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-8122
Practice Address - Country:US
Practice Address - Phone:802-878-9888
Practice Address - Fax:802-878-8383
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT016.01343421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice