Create An Account

1

Responsible Party

2

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Responsible Party Information

Please enter the name, mobile and address for the responsible party that will be billed for this account.

First name

Middle initial optional

Last name

Account holder’s email address

Mobile Phone

Address

Suite/apt no

Address 2

City

State

ZIP code

I agree to receive promotional/marketing SMS messages from Robert A. Lantzy, DMD, LLC about membership savings and special offers. Message frequency may vary. Data rates may apply. Reply STOP to unsubscribe.

I agree to receive transactional SMS messages from Robert A. Lantzy, DMD, LLC about account notifications, appointment reminders, and membership updates. Message frequency may vary. Data rates may apply.

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After creating your account, you'll receive an email to set your password.

Robert A. Lantzy, DMD, LLC

Location

11 Friends Lane, Suite 100

Newtown, PA 18940

Phone

215-860-5901

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