| NPI | 1053548511 |
|---|---|
| Former Name | BRENDA KRISTINE LENSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6408-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 10160) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2024-05-21 |