Individual
DR. THOMAS PAUL LUSTENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
983 OLD ST RT 74, BATAVIA, OH 45103-2597
(513) 752-6655
(513) 752-2597
Mailing address
983 OLD ST RT 74, BATAVIA, OH 45103
(513) 752-6655
(513) 752-2597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30016089
OH
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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