DR. John Berton Luther, D.D.S.

NPI #1457424210 in Appleton, Wisconsin

Provider Information

NPI Number: 1457424210
Entity Type: Individual
Name: DR. John Berton Luther, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 821 E 1ST AVE
Address 2: SUITE 3
City: Appleton
State: Wisconsin
ZIP Code: 54911-1501
Phone: (920) 734-9148

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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