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1306969910
LUCAS CHARLES DEETER
BISMARCK, ND
NPI
1306969910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ND 1223G0001X)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Dr. LUCAS CHARLES DEETER DDS
1003 GATEWAY AVE
BISMARCK, ND 58503-0508
Phone number: 701-222-1800
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Mailing Address
Dr. LUCAS CHARLES DEETER DDS
623 RAYMOND ST
BISMARCK, ND 58501-3440
Phone number: 414-477-9642
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