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Individual

DR. DAVID J LUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
125 W BROADWAY, SHELBYVILLE, IN 46176-1201
(317) 398-6314
Mailing address
125 WBROADWAY, SHELBYVILLE, IN 46176-1201
(317) 398-6314

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12005926
IN
1223G0001X
General Practice Dentistry
12005926
IN

Other

Enumeration date
01/25/2011
Last updated
01/25/2011
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