Organization
LENTZ DENTAL PLLC
Active
Other names
Minneota Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA CHRISTINE LENTZ DDS (OWNER)
(612) 309-8448
Entity
Organization
Contact information
Practice address
102 E 1ST ST, MINNEOTA, MN 56264-9637
(507) 872-6403
(507) 872-6961
Mailing address
102 E 1ST ST, MINNEOTA, MN 56264-9637
(507) 872-6403
(507) 872-6961
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D14217
MN STATE DENTAL LICENSE
MN
Enumeration date
05/03/2021
Last updated
05/03/2021
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