Individual
DR. MARK D LENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, SC
Contact information
Practice address
1558 S GREENBAY RD, RACINE, WI 53406-4410
(262) 634-6900
(262) 634-6786
Mailing address
3701 SPRING LAKE DR, RACINE, WI 53405-4926
(262) 634-6900
(262) 634-6786
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2987-015
WI
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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