Individual
DR. MARY LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
951 MAIN ST STE 100, UNION GROVE, WI 53182-1074
(262) 878-2422
Mailing address
1221 N 62ND ST STE 201, WAUWATOSA, WI 53213-3077
(262) 758-0706
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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