Individual
MALLORY LUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
800 E WAYNE ST, CELINA, OH 45822-1359
(419) 586-1615
Mailing address
800 E WAYNE ST, CELINA, OH 45822-1359
(419) 586-1615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027517
OH
Other
Enumeration date
05/15/2024
Last updated
05/28/2026
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