Individual
DR. DAVID DETLEF MENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
151 E FOREST AVE, NEENAH, WI 54956-2710
(920) 722-0530
(920) 722-5210
Mailing address
456 PLEASANT CT, NEENAH, WI 54956-1926
(920) 720-0925
(920) 720-0049
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3488
WI
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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