Individual
JENNA LOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
500 N MUNDO DR, DULCE, NM 87528-5176
(575) 759-3291
(575) 759-3651
Mailing address
PO BOX 187, DULCE, NM 87528-0187
(575) 759-3291
(575) 759-3651
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4127
NM
Other
Enumeration date
07/21/2014
Last updated
11/07/2023
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