| Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd | |
|
160 E. Walnut St. Rockford OH 45882 | |
| (419) 363-3537 | |
| Not Available |
| Full Name | Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 160 E. Walnut St., Rockford, Ohio |
| Authorized Official Name and Position | Travis Lutz (OWNER/DENTIST) |
| Authorized Official Contact | 4193059983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd 160 E. Walnut St. Rockford OH 45882 Ph: (419) 363-3537 | Grand Lake Family Dentistry Travis D Lutz Dds- Rockford Ltd 160 E. Walnut St. Rockford OH 45882 Ph: (419) 363-3537 |
| NPI Number | 1366044158 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 11/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366044158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |