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Contact Information

ALAN F TATZ, DDS
ALOMA CANONCITO LAGUNA HOSTITAL IHS
SAN FIDEL, NM87049
 Phone: 505-552-5310
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ALAN F TATZ · (Male)

NPI Number 1114015526
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 10/11/2006
Last updated 02/13/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 01916156
  • NM Medicaid H3451
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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