Organization
LORENZ DENTAL LLC
Active
Other names
Lake Five Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIERSTIN LORENZ DDS (DENTIST)
(701) 490-0632
Entity
Organization
Contact information
Practice address
N95W25901 COUNTY LINE RD STE I, COLGATE, WI 53017-9225
(262) 628-0555
Mailing address
634 N 98TH ST, MILWAUKEE, WI 53226-4306
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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