| NPI | 1497854194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN J LENZ Dentist 302-654-6915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: DE 1989013961) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-08-03 |