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Individual

DR. JASON L LUECHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
W156N11377 PILGRIM RD, GERMANTOWN, WI 53022-3422
(262) 251-0205
Mailing address
W156N11377 PILGRIM RD, GERMANTOWN, WI 53022-3422
(262) 251-0205

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6531-15
WI

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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