NPI | 1477766061 |
---|---|
Professional Name | PERCY EDGAR LUECKE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 15344) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2011-04-11 |