| 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 |
|---|---|
| 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 |
|---|---|
| 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 |