Individual
LANCE Q. BRUNTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3605 GRANT DR, RENO, NV 89509-5301
(775) 825-4804
Mailing address
3605 GRANT DR, RENO, NV 89509-5301
(775) 825-4804
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-72
NV
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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