Individual
DR. CELESTE A. LANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2373 LEN PATTERSON RD STE 103, FORT MILL, SC 29708-8266
(803) 752-0655
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486-0036
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18501
TX
Other
Enumeration date
07/06/2011
Last updated
07/20/2021
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