Individual
LANCE G. BARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
622 W MAIN ST, STANTON, MI 48888-9297
(989) 831-7071
Mailing address
9055 COLLINS RD, FENWICK, MI 48834-9537
(989) 248-3660
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2901011007
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4846066
—
MI
Enumeration date
01/18/2006
Last updated
07/09/2007
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