GRAND LAKE FAMILY DENTISTRY TRAVIS D LUTZ DDS- ROCKFORD LTD NPI 1366044158

NPI Information

GRAND LAKE FAMILY DENTISTRY TRAVIS D LUTZ DDS- ROCKFORD LTD is a general practice dentist in Rockford, OH. 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. GRAND LAKE FAMILY DENTISTRY TRAVIS D LUTZ DDS- ROCKFORD LTD NPI is 1366044158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

160 E. WALNUT ST.
ROCKFORD, OH
ZIP 45882
Phone: (419) 363-3537

The provider's authorized official is Travis Lutz .
The authorized official title is Owner/dentist and has the following contact phone number (419) 305-9983.

The enumeration date for this NPI number is 11/16/2020 and was last updated on 11/16/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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