Individual
DR. MIKE A. LUTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1021 W BUCHANAN ST, SUITE 18, CALIFORNIA, MO 65018-1238
(573) 796-8686
(573) 796-5050
Mailing address
30500 S GERHART RD, CALIFORNIA, MO 65018-3155
(573) 796-8255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14895
MO
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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