| 3390 West Elm Family Dentistry Llc | |
|
3390 W Elm St Lima OH 45807-2223 | |
| (419) 222-1726 | |
| Not Available |
| Full Name | 3390 West Elm Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3390 W Elm St, Lima, 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 |
|---|---|
| 3390 West Elm Family Dentistry Llc 3390 W Elm St Lima OH 45807-2223 Ph: (419) 222-1726 | 3390 West Elm Family Dentistry Llc 3390 W Elm St Lima OH 45807-2223 Ph: (419) 222-1726 |
| NPI Number | 1457143059 |
|---|---|
| Provider Enumeration Date | 05/20/2025 |
| Last Update Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457143059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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