Individual
THOMAS G LUCKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5249 OLDE TOWNE RD, WILLIAMSBURG, VA 23188-8111
(757) 259-3254
Mailing address
105 BENNETT CIR, WILLIAMSBURG, VA 23185-8227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401002784
VA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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