Individual
BRADLEY J LUTCHKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 16TH AVE, MOLINE, IL 61265
(309) 797-1770
(309) 797-1791
Mailing address
930 16TH AVE, MOLINE, IL 61265
(309) 797-1770
(309) 797-1791
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
IL
Other
Enumeration date
01/26/2006
Last updated
09/24/2020
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