Mike A. Lutz, D.d.s., P.c.

NPI #1326095159 in California, Missouri

Provider Information

NPI Number
1326095159
Entity Type
Organization
Organization Name
Mike A. Lutz, D.d.s., P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
May 27, 2006
Last Updated
Jan 3, 2017

Practice Location

Address
1021 W BUCHANAN ST
Address 2
SUITE 18
ZIP Code
65018-1238
Phone
(573) 796-8686

Authorized Official

Name
DR. MIKE A. LUTZ, D.D.S.
Title
PRESIDENT
Phone
(573) 796-8686

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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