| Downtown Dental Lafayette Llc | |
|
676 Main St Lafayette IN 47901-1451 | |
| (765) 543-8082 | |
| Not Available |
| Full Name | Downtown Dental Lafayette Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 676 Main St, Lafayette, Indiana |
| Authorized Official Name and Position | James Lutz (MEMBER) |
| Authorized Official Contact | 7655438082 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Dental Lafayette Llc 676 Main St Lafayette IN 47901-1451 Ph: () - | Downtown Dental Lafayette Llc 676 Main St Lafayette IN 47901-1451 Ph: (765) 543-8082 |
| NPI Number | 1558997437 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 03/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558997437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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