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Organization
LORENZ DENTAL LLC
Active
Organization
LORENZ DENTAL LLC
Active
Other names
Lake Five Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIERSTIN LORENZ DDS (DENTIST)
(701) 490-0632
Entity
Organization
Contact information
Practice address
N95W25901 COUNTY LINE RD STE I, COLGATE, WI 53017-9225
(262) 628-0555
Mailing address
634 N 98TH ST, MILWAUKEE, WI 53226-4306
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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