Individual
DR. NICHOLAS LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4209 FITZHUGH AVE, RICHMOND, VA 23230-3828
(319) 290-2851
Mailing address
4209 FITZHUGH AVE, RICHMOND, VA 23230-3828
(319) 290-2851
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415240
VA
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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