Organization
JAMES E. LUETZOW, D.D.S., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EBNER LUETZOW D.D.S. (PRESIDENT)
(262) 554-5468
Entity
Organization
Contact information
Practice address
6011 DURAND AVE, SUITE 200, RACINE, WI 53406-5060
(262) 554-5468
Mailing address
6011 DURAND AVE, SUITE 200, RACINE, WI 53406-5060
(262) 554-5468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2387
WI
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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