Individual
JEFFREY FLOYD LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2001 BLOOMINGTON AVENUE, MINNEAPOLIS, MN 55404-3089
(612) 301-3433
Mailing address
2001 BLOOMINGTON AVENUE, MINNEAPOLIS, MN 55404-3089
(612) 301-3433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901012136
MI
1223G0001X
General Practice Dentistry
6127-015
WI
1223G0001X
General Practice Dentistry
Primary
D9025
MN
Other
Enumeration date
05/12/2006
Last updated
10/24/2014
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