Individual
SUZANNE R LUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12279 BRADY DR, CUSTER, SD 57730-9160
(605) 673-2521
Mailing address
12279 BRADY DR, CUSTER, SD 57730-9160
(605) 673-2521
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
750
SD
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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