Individual
DR. JOHN BERTON LUTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
821 E 1ST AVE, SUITE 3, APPLETON, WI 54911-1501
(920) 734-9148
(920) 734-8710
Mailing address
821 E 1ST AVE, SUITE 3, APPLETON, WI 54911-1501
(920) 734-9148
(920) 734-8710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5588-015
WI
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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