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Individual

LUKE ANTHONY RISTOW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
930 IOWA ST STE 1, LAWRENCE, KS 66044-1869
(573) 999-7138
Mailing address
21812 W 97TH TER, LENEXA, KS 66220-3740
(573) 999-7138

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61467
KS

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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