Individual provider · Type 1 NPI
Mary Lenz, DDS
Student in an Organized Health Care Education/Training Program · Union Grove, WI
NPI number
1477089415
Active
Practice location
951 Main St Ste 100
Union Grove, WI 53182-1074
Mailing address
1221 N 62nd St Ste 201
Wauwatosa, WI 53213-3077
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
About NPI 1477089415
Mary Lenz, DDS's National Provider Identifier is 1477089415, issued on May 11, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Union Grove, WI. The record was last updated on May 11, 2017.