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Individual

DR. PERCY EDGAR LUECKE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.S.D.

Contact information

Practice address
4902 GOLDEN QUAIL, SUITE 100, SAN ANTONIO, TX 78240-1636
(210) 690-0662
(210) 696-8742
Mailing address
4902 GOLDEN QUAIL, SUITE 100, SAN ANTONIO, TX 78240-1636
(210) 690-0662
(210) 696-8742

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15344
TX

Other

Enumeration date
05/08/2007
Last updated
04/11/2011
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