| Lazcano Family Dental Group | |
|
15355 Sherman Way Suite P Van Nuys CA 91406-4200 | |
| (954) 205-3183 | |
| Not Available |
| Full Name | Lazcano Family Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 15355 Sherman Way, Van Nuys, California |
| Authorized Official Name and Position | Maritza Lazcano (GENERAL DENTIST) |
| Authorized Official Contact | 9542053183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazcano Family Dental Group 15355 Sherman Way Suite P Van Nuys CA 91406-4200 Ph: (954) 205-3183 | Lazcano Family Dental Group 15355 Sherman Way Suite P Van Nuys CA 91406-4200 Ph: (954) 205-3183 |
| NPI Number | 1174056931 |
|---|---|
| Provider Enumeration Date | 04/09/2017 |
| Last Update Date | 04/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174056931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 101016 (California) | Primary |
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