LUCAS CHARLES DEETER

BISMARCK, ND
NPI1306969910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ND  1223G0001X)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
Dr. LUCAS CHARLES DEETER DDS
1003 GATEWAY AVE
BISMARCK, ND 58503-0508
Phone number: 701-222-1800
Mailing Address
Dr. LUCAS CHARLES DEETER DDS
623 RAYMOND ST
BISMARCK, ND 58501-3440
Phone number: 414-477-9642