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Organization

KENNETH M LUTSCH,DDS,LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH M LUTSCH D.D.S. (OWNER)
(815) 877-8800
Entity
Organization

Contact information

Practice address
619 HARLEM RD, MACHESNEY PARK, IL 61115-2429
(815) 877-8800
(815) 877-8805
Mailing address
619 HARLEM RD, MACHESNEY PARK, IL 61115-2429
(815) 877-8800
(815) 877-8805

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
IL

Other

Enumeration date
11/09/2006
Last updated
08/22/2020
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