Lentz Dental Pllc | |
102 E 1st St Minneota MN 56264-9637 | |
(507) 872-6403 | |
(507) 872-6961 |
Full Name | Lentz Dental Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 102 E 1st St, Minneota, Minnesota |
Authorized Official Name and Position | Alexandra Christine Lentz (OWNER) |
Authorized Official Contact | 6123098448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lentz Dental Pllc 102 E 1st St Minneota MN 56264-9637 Ph: (507) 872-6403 | Lentz Dental Pllc 102 E 1st St Minneota MN 56264-9637 Ph: (507) 872-6403 |
NPI Number | 1497338990 |
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Provider Enumeration Date | 05/03/2021 |
Last Update Date | 05/03/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497338990 | NPI | - | NPPES |
D14217 | Other | MN | MN STATE DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |