Individual
DR. MARK CHRISTOPHER LANTZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D. D. S.
Contact information
Practice address
1224 N HIGHWAY 377, SUITE 211, ROANOKE, TX 76262-9103
(817) 837-4545
(817) 837-4549
Mailing address
1224 N HIGHWAY 377, SUITE 211, ROANOKE, TX 76262-9103
(817) 837-4545
(817) 837-4549
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20944
TX
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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