Individual
DR. ALAN FILIP TATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
ALOMA CANONCITO LAGUNA HOSTITAL IHS, SAN FIDEL, NM 87049
(505) 552-5310
Mailing address
ACL BUS OFFICE, PO BOX 130, SAN FIDEL, NM 87049
(505) 552-5310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01916156
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
10/11/2006
Last updated
02/13/2015
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