Kenneth M Lutsch,dds,ltd
NPI #1578633178 in Machesney Park, Illinois
Provider Information
- NPI Number
- 1578633178
- Entity Type
- Organization
- Organization Name
- Kenneth M Lutsch,dds,ltd
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 619 HARLEM RD
- City
- Machesney Park
- State
- Illinois
- ZIP Code
- 61115-2429
- Phone
- (815) 877-8800
Authorized Official
- Name
- DR. KENNETH M LUTSCH, D.D.S.
- Title
- OWNER
- Phone
- (815) 877-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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