3390 West Elm Family Dentistry LLC

NPI #1457143059 in Lima, Ohio

Provider Information

NPI Number: 1457143059
Entity Type: Organization
Organization Name: 3390 West Elm Family Dentistry LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 20, 2025
Last Updated: May 20, 2025

Practice Location

Address: 3390 W ELM ST
City: Lima
State: Ohio
ZIP Code: 45807-2223
Phone: (419) 222-1726

Authorized Official

Name: TRAVIS LUTZ, DDS
Title: OWNER/DENTIST
Phone: (419) 305-9983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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