| Lorenz Dental Llc | |
|
N95w25901 County Line Rd Ste I Colgate WI 53017-9225 | |
| (262) 628-0555 | |
| Not Available |
| Full Name | Lorenz Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | N95w25901 County Line Rd Ste I, Colgate, Wisconsin |
| Authorized Official Name and Position | Kierstin Lorenz (DENTIST) |
| Authorized Official Contact | 7014900632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lorenz Dental Llc 634 N 98th St Milwaukee WI 53226-4306 Ph: () - | Lorenz Dental Llc N95w25901 County Line Rd Ste I Colgate WI 53017-9225 Ph: (262) 628-0555 |
| NPI Number | 1790495117 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790495117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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