Fred William Luedtke D.D.S.

NPI 1073600854 - Dentist - 1223G0001X

NPI Details
NPI 1073600854
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1260 S. 500 W.
BOUNTIFUL UT, 84010, US
Phone (801) 294-6174
Fax
Business Location
1260 S. 500 W.
BOUNTIFUL UT, 84010, US
Phone (801) 294-6174
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Utah
License Number 351483-9922
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According to our database, Dr. Fred William Luedtke D.D.S. NPI is 1073600854, taxonomy code is 1223G0001X and license number is 351483-9922, license state is located at Utah. Fred William Luedtke D.D.S. physically located at 1260 S. 500 W., Bountiful UT, 84010. NPI Number Fred William Luedtke D.D.S. has the Individual type.

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1073600854 NPI number is provided on an as is basis without warranty of any kind. 1073600854 is maintained by the National Plan & Provider Enumeration System. The contents of Fred William Luedtke D.D.S. are for informational purposes only.