Joel Gary Luedeke D.M.D.

NPI 1679695118 - Dentist - 1223G0001X

NPI Details
NPI 1679695118
Gender Male
Enumeration Date 04/04/2007
Last Updated 01/23/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
720 OLIVE ST
SUITE 1700
SAINT LOUIS MO, 63101-2338, US
Phone (925) 487-4421
Fax (314) 241-3204
Business Location
PO BOX 771460
SAINT LOUIS MO, 63177-2460, US
Phone (925) 899-0794
Fax (314) 241-3204
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 33623
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According to our database, Dr. Joel Gary Luedeke D.M.D. NPI is 1679695118, taxonomy code is 1223G0001X and license number is 33623, license state is located at California. Joel Gary Luedeke D.M.D. physically located at 720 Olive St, Saint Louis MO, 63101-2338. NPI Number Joel Gary Luedeke D.M.D. has the Individual type.

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1679695118 NPI number is provided on an as is basis without warranty of any kind. 1679695118 is maintained by the National Plan & Provider Enumeration System. The contents of Joel Gary Luedeke D.M.D. are for informational purposes only.