Individual
MARCOS LENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PRV-TP-121-24
MS
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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