Individual
TRACI LEE LENTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
211 S 4TH ST STE B, CRYSTAL FALLS, MI 49920-1583
(906) 875-6133
Mailing address
218 PINE ST, REPUBLIC, MI 49879-9250
(906) 362-7409
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902061784
MI
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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