Individual
DR. GEORGE STEVEN LUKATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11711 W BURLEIGH ST, WAUWATOSA, WI 53222-3108
(414) 771-2345
Mailing address
1717 W GREEN TREE RD, #108, GLENDALE, WI 53209-2957
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4870
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33760500
—
WI
Enumeration date
08/05/2006
Last updated
07/08/2007
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