Organization
DEBORA C. LENTZ, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORA C. LENTZ DDS (OWNER)
(704) 548-0870
Entity
Organization
Contact information
Practice address
1704 HARRIS HOUSTON RD STE 3, CHARLOTTE, NC 28262-9239
(704) 548-0870
(704) 548-0310
Mailing address
1704 HARRIS HOUSTON RD STE 3, CHARLOTTE, NC 28262-9239
(704) 548-0870
(704) 548-0310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5928
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743034
UNITED CONCORDIA
NC
Enumeration date
02/22/2008
Last updated
02/22/2008
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