Individual
OLIVIA MARIE YENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1501 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-5559
Mailing address
6618 PARKWAY DR, SUN PRAIRIE, WI 53590-9728
(608) 576-2685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6001778
WI
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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