Individual
BRIAN EDWARD LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
850 CHERRY ST, WATERFORD, PA 16441-7804
(814) 796-2649
(814) 796-2242
Mailing address
850 CHERRY ST, P.O. BOX 817, WATERFORD, PA 16441-7804
(814) 796-2649
(814) 796-2242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029419L
PA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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