Mike A. Lutz, D.d.s., P.c. | |
1021 W Buchanan St Suite 18 California MO 65018-1238 | |
(573) 796-8686 | |
(573) 796-5050 |
Full Name | Mike A. Lutz, D.d.s., P.c. |
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Speciality | Dentist - General Practice |
Location | 1021 W Buchanan St, California, Missouri |
Authorized Official Name and Position | Mike A. Lutz (PRESIDENT) |
Authorized Official Contact | 5737968686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mike A. Lutz, D.d.s., P.c. Po Box 130 California MO 65018-0130 Ph: (573) 796-8686 | Mike A. Lutz, D.d.s., P.c. 1021 W Buchanan St Suite 18 California MO 65018-1238 Ph: (573) 796-8686 |
NPI Number | 1326095159 |
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Provider Enumeration Date | 05/27/2006 |
Last Update Date | 01/03/2017 |
Identifier | Type | State | Issuer |
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1326095159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 14895 (Missouri) | Primary |