Jeffrey M Lautz, DMD Valid NPI

Individual provider · Dentist · East Alton, IL

NPI

1285670604

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

Sex

Male

Sole proprietor

No

Enumerated

2006-06-22

Last updated

2007-07-08