# SUCHETA LUTHRA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386851558
- **Gender:** F
- **Credential:** DDS, DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3146 | WV | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 12/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0134222000 | — | WV |
| 01 | — | 550629135 | TEIN | — |
