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Individual
JEFFREY MICHAEL LUCHETTI
Active
Individual
JEFFREY MICHAEL LUCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
018.002141
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019.032918
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12613
NC
Other
Enumeration date
03/31/2020
Last updated
06/24/2024
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