Individual
DR. LUKE WILLIAM STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3528 WABASH AVE, TERRE HAUTE, IN 47803-1606
(812) 232-8812
Mailing address
3528 WABASH AVE, TERRE HAUTE, IN 47803-1606
(812) 232-8812
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009784
IN
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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