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1346537644
RYAN W LUCHTEFELD
BELLEVILLE, IL
NPI
1346537644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IL 019-028742)
Enumeration Date
2011-07-07
Last Update Date
2011-07-07
Business Address
-- RYAN W LUCHTEFELD DMD
1801 N BELT W STE C
BELLEVILLE, IL 62226-8201
Phone number: 618-234-6566
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Mailing Address
-- RYAN W LUCHTEFELD DMD
1801 N BELT W STE C
BELLEVILLE, IL 62226-8201
Phone number: 618-234-6566
Copy
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