Luekenga Dental Pllc

NPI #1447524178 in Bellville, Texas

Provider Information

NPI Number: 1447524178
Entity Type: Organization
Organization Name: Luekenga Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 12 W MAIN ST
City: Bellville
State: Texas
ZIP Code: 77418-1440
Phone: (979) 865-3668

Authorized Official

Name: DR. JASON MEADOR LUEKENGA, D.D.S
Title: DENTIST
Phone: (979) 865-3668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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