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Individual

ELIZABETH C LENSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1329 PORTMAN DR SE, STE D, CONYERS, GA 30094-6619
(770) 786-5936
Mailing address
2570 RIVERSIDE PARKWAY, P.O. BOX 897, LAWRENCEVILLE, GA 30045-0897
(770) 339-4260

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN010980
GA

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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