| Brock Lorenz Dmd Ms Inc | |
|
16605 Devonshire St Granada Hills CA 91344-6651 | |
| (818) 366-4867 | |
| (818) 366-7964 |
| Full Name | Brock Lorenz Dmd Ms Inc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 16605 Devonshire St, Granada Hills, California |
| Authorized Official Name and Position | Brock J Lorenz (PRESIDENT) |
| Authorized Official Contact | 6198048339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brock Lorenz Dmd Ms Inc 200 Pacific Coast Hwy Unit 304 Huntington Beach CA 92648-5190 Ph: () - | Brock Lorenz Dmd Ms Inc 16605 Devonshire St Granada Hills CA 91344-6651 Ph: (818) 366-4867 |
| NPI Number | 1811502057 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811502057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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