| NPI | 1689160160 |
|---|---|
| Former Name | STEPHANIE JEAN LENES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC9172) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 9172) |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2025-10-02 |