Individual
MELISSA LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1819 E EUCLID AVE, MILWAUKEE, WI 53207-2943
(414) 645-4540
Mailing address
1111 CESAR CHAVEZ DRIVE, MILWAUKEE, WI 53233-2943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7255-15
WI
Other
Enumeration date
06/03/2014
Last updated
12/15/2014
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