Individual
JEFFREY BRENT LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9456 DOUBLE R BLVD, SUITE A, RENO, NV 89521-5977
(775) 851-4268
(775) 851-4321
Mailing address
9456 DOUBLE R BLVD, SUITE A, RENO, NV 89521-5977
(775) 851-4268
(775) 851-4321
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
S7-40
NV
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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