Individual
LUKAS GILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12245 LINDSTROM LN, LINDSTROM, MN 55045-9550
(651) 257-4471
Mailing address
12245 LINDSTROM LN, LINDSTROM, MN 55045-9550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D14877
MN
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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