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Organization
DOWNTOWN DENTAL LAFAYETTE LLC
Active
Organization
DOWNTOWN DENTAL LAFAYETTE LLC
Active
Other names
Downtown Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LUTZ DDS (MEMBER)
(765) 543-8082
Entity
Organization
Contact information
Practice address
676 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 543-8082
Mailing address
676 MAIN ST, LAFAYETTE, IN 47901-1451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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