Individual
DR. ANDREW THOMAS LUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
614 SICKLERVILLE RD, WILLIAMSTOWN, NJ 08094-1217
(856) 728-9494
Mailing address
614 SICKLERVILLE RD, WILLIAMSTOWN, NJ 08094-1217
(856) 728-9494
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22D102467300
NJ
Other
Enumeration date
04/21/2011
Last updated
03/18/2015
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