| Street | 661 Kirkwood Mall | ||
| City/Town | Bismarck | ||
| State/Province/Region | North Dakota | ||
| Zip/Postal Code | 58504 | ||
| Phone Number | (701) 258-5840 | ||
| Country | United States |
| Full Name | Lukas Hayes DDS | ||
| Gender | male | ||
| Birthday | 1972-03-26 | ||
| Social Security Number | 146-23-2689 |
| Credit card brand | Discover | ||
| Credit card number | 6011644657813571 | ||
| Expire | 2030/11 | ||
| CVV | 042 |