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Anthony Frederick Lent, D.D.S

Dentist, General Practice in Portage, IN. Individual provider (NPI-1).

NPI number1134812407
StatusActive
Last updated in NPPESJun 1, 2023

Details

NPI
1134812407
Entity type
Individual (NPI-1)
Name
Anthony Frederick Lent
Credential
D.D.S
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 1, 2023
Certification date
Jun 1, 2023
Last updated
Jun 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice12014112AINYes

Practice location

6035 Sterling Creek Rd
Portage, IN 46368-7752

Phone 219-850-1218

Mailing address

432 Brookshire Ct
Valparaiso, IN 46385-8044

Phone 920-737-1770

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