Individual
DR. AMBER A. DENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
520 HARTBROOK DR, HARTLAND, WI 53029-1405
(262) 367-6610
Mailing address
520 HARTBROOK DR, HARTLAND, WI 53029-1405
(262) 370-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2878-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38614100
—
WI
Enumeration date
11/07/2006
Last updated
05/12/2020
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