NPI:
1326095159
Provider Name:
MIKE A. LUTZ, D.D.S., P.C.
Former Legal Business Name: LUTZ & STENQUIST, D.D.S., P.C.
Classification:
Dentist - 1223G0001X
Entity Type:
Organization
Specialization: General Practice
Address:
1021 W BUCHANAN ST
SUITE 18
CALIFORNIA, MO
ZIP 65018
Phone:
(573) 796-8686
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MIKE A. LUTZ, D.D.S., P.C. is a general practice dentist in California, MO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MIKE A. LUTZ, D.D.S., P.C. NPI is 1326095159. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Lutz & Stenquist, D.d.s., P.c..
The provider's business location address is:
1021 W BUCHANAN ST
SUITE 18
CALIFORNIA, MO
ZIP 65018-238
Phone: (573) 796-8686
Fax: (573) 796-5050
The provider's authorized official is Mike A. Lutz .
The authorized official title is President and has the following contact phone number (573) 796-8686.
The enumeration date for this NPI number is 5/27/2006 and was last updated on 1/3/2017.