Grand Lake Family Dentistry, Ltd.

NPI #1952428310 in Celina, Ohio

Provider Information

NPI Number
1952428310
Entity Type
Organization
Organization Name
Grand Lake Family Dentistry, Ltd.
Primary Specialty
Dentist
Enumeration Date
Mar 23, 2007
Last Updated
May 20, 2025

Practice Location

Address
800 E WAYNE ST
City
Celina
State
Ohio
ZIP Code
45822-1359
Phone
(419) 586-1615

Authorized Official

Name
DR. TRAVIS DUANE LUTZ, DDS
Title
PRESIDENT
Phone
(419) 586-1615

Specialties & Taxonomy Codes

Specialty
Dentist

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