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Organization
LENTZ DENTAL PLLC
Active
Organization
LENTZ DENTAL PLLC
Active
Other names
Minneota Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA CHRISTINE LENTZ DDS (OWNER)
(612) 309-8448
Entity
Organization
Contact information
Practice address
102 E 1ST ST, MINNEOTA, MN 56264-9637
(507) 872-6403
(507) 872-6961
Mailing address
102 E 1ST ST, MINNEOTA, MN 56264-9637
(507) 872-6403
(507) 872-6961
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14217
MN STATE DENTAL LICENSE
MN
Enumeration date
05/03/2021
Last updated
05/03/2021
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