Individual
SCOTT IVAN LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
706 N MAIN ST, MONTICELLO, IN 47960-1712
(574) 583-5042
Mailing address
706 N MAIN ST, MONTICELLO, IN 47960-1712
(574) 583-5042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12008804
IN
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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