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1053409680
MARK D LENZ
RACINE, WI
NPI
1053409680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI 2987-015)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
Dr. MARK D LENZ DDS, MS, SC
1558 S GREENBAY RD
RACINE, WI 53406-4410
Phone number: 262-634-6900
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Mailing Address
Dr. MARK D LENZ DDS, MS, SC
3701 SPRING LAKE DR
RACINE, WI 53405-4926
Phone number: 262-634-6900
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