Individual
DR. FRED WILLIAM LUEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1260 S. 500 W., BOUNTIFUL, UT 84010
(801) 294-6174
Mailing address
1260 S. 500 W., BOUNTIFUL, UT 84010
(801) 294-6174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
351483-9922
UT
Other
Enumeration date
10/05/2006
Last updated
06/13/2023
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