Individual
SUCHETA LUTHRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, DMD
Contact information
Practice address
3136 WEST STREET, WEIRTON, WV 26062-3813
(304) 797-7733
Mailing address
3136 WEST ST, WEIRTON, WV 26062-4637
(304) 797-7733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3146
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134222000
—
WV
01
—
550629135
TEIN
—
Enumeration date
05/17/2007
Last updated
12/05/2011
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