Jason Luchtefeld, Dmd, LLC

NPI #1942577002 in Robinson, Illinois

Provider Information

NPI Number
1942577002
Entity Type
Organization
Organization Name
Jason Luchtefeld, Dmd, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 17, 2011
Last Updated
Nov 17, 2011

Practice Location

Address
1502 W MAIN ST
ZIP Code
62454-3819
Phone
(618) 544-2626

Authorized Official

Name
DR. JASON LUCHTEFELD
Title
MEMBER
Phone
(618) 544-2626

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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