Jason L Luecht D.D.S.

NPI 1659682540 - Dentist - 122300000X

NPI Details
NPI 1659682540
Gender Male
Enumeration Date 06/25/2010
Last Updated 06/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
W156N11377 PILGRIM RD
GERMANTOWN WI, 53022-3422, US
Phone (262) 251-0205
Fax
Business Location
W156N11377 PILGRIM RD
GERMANTOWN WI, 53022-3422, US
Phone (262) 251-0205
Fax
Toxanomy
Taxonomy Code 122300000X
License State Wisconsin
License Number 6531-15
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According to our database, Dr. Jason L Luecht D.D.S. NPI is 1659682540, taxonomy code is 122300000X and license number is 6531-15, license state is located at Wisconsin. Jason L Luecht D.D.S. physically located at W156n11377 Pilgrim Rd, Germantown WI, 53022-3422. NPI Number Jason L Luecht D.D.S. has the Individual type.

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1659682540 NPI number is provided on an as is basis without warranty of any kind. 1659682540 is maintained by the National Plan & Provider Enumeration System. The contents of Jason L Luecht D.D.S. are for informational purposes only.