Individual
THOMAS EDWARD LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13140 CENTRAL AVE SE, E, ALBUQUERQUE, NM 87123-5547
(515) 292-3323
(505) 292-7327
Mailing address
14307 WINDSOR PL NE, ALBUQUERQUE, NM 87123-2420
(505) 323-9002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
001764
NM
Other
Enumeration date
08/22/2005
Last updated
07/08/2007
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