| Organization Name: | LENK FAMILY ORTHODONTICS, INC. |
| NPI Number: | 1225200074 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MISTY DAWN LENK (OWNER/ORTHODONTIST) |
| Mailing Address: | 228 Commons Parkway Daleville |
| State: | VA US |
| Postal Code: | 24083 |
| Phone Number: | 5409663990 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 04/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 0401411617 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |