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General NPI Number Information
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NPI Number | 1063794451
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Entity Type | Organization
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Legal Business Name | NORMA LANTZSCH DDS INC
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 10683 MAGNOLIA AVE STE D
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City | RIVERSIDE
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State | CA
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Zip | 92505-1893
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Country | US
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Telephone | 951-324-1212
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Fax | 951-324-1783
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Provider Business Mailing Address
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Address Line | 10683 MAGNOLIA AVE STE D
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City | RIVERSIDE
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State | CA
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Zip | 92505-1893
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Country | US
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Telephone | 951-324-1212
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Fax | 951-324-1783
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORMA A LANTZSCH
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Credential | DDS
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Telephone | 951-324-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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