Individual
DR. GREGORY MARK LUTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5045 LORIMAR DR, #110, PLANO, TX 75093-5720
(972) 378-4141
(775) 871-1573
Mailing address
5045 LORIMAR DR, #110, PLANO, TX 75093-5720
(972) 378-4141
(775) 871-1573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14658
TX
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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