Individual
DR. ANTONELLA BELLA LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
FORT BELKNAP INDIAN COMMUNITY, 656 AGENCY MAIN STREET, HARLEM, MT 59526
(406) 353-2525
Mailing address
PO BOX 413, HARLEM, MT 59526-0413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15532
MT
122300000X
Dentist
46517
CA
Other
Enumeration date
06/27/2007
Last updated
03/31/2020
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