DR. Mark Gerard Lenz, DDS

NPI #1174625628 in Little Chute, Wisconsin

Provider Information

NPI Number: 1174625628
Entity Type: Individual
Name: DR. Mark Gerard Lenz, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Sep 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 119 E MAIN ST
City: Little Chute
State: Wisconsin
ZIP Code: 54140-1850
Phone: (920) 788-6366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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