Individual
GARY LUKKARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2267 E APPLE AVE, MUSKEGON, MI 49442-4368
(231) 777-3304
(231) 777-7724
Mailing address
2267 E APPLE AVE, MUSKEGON, MI 49442-4368
(231) 777-3304
(231) 777-7724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901013540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2991611
—
MI
Enumeration date
10/10/2006
Last updated
07/08/2007
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