Individual
GABRIEL AARON LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
325 E MAIN ST, SAINT ANTHONY, ID 83445-1546
(208) 356-4900
(208) 624-4117
Mailing address
PO BOX 18, SAINT ANTHONY, ID 83445-0018
(208) 356-4900
(208) 624-4117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-4971
ID
1223G0001X
General Practice Dentistry
Primary
D-4971
ID
Other
Enumeration date
07/12/2018
Last updated
06/23/2025
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