Individual
DR. JOHNNY LEWIS NANTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3901 S LAMAR BLVD STE 420, AUSTIN, TX 78704-7990
(512) 445-3355
Mailing address
3901 S LAMAR BLVD STE 420, AUSTIN, TX 78704-7990
(512) 445-3355
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
18081
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22328
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5069
NV
Other
Enumeration date
05/21/2008
Last updated
06/22/2010
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