| Mary Leah T. Lorenzo Dds Inc | |
|
9535 Reseda Blvd Ste 213 Northridge CA 91324-6028 | |
| (818) 718-2566 | |
| Not Available |
| Full Name | Mary Leah T. Lorenzo Dds Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9535 Reseda Blvd Ste 213, Northridge, California |
| Authorized Official Name and Position | Mary Leah Tan Lorenzo (PRESIDENT) |
| Authorized Official Contact | 8186457375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Leah T. Lorenzo Dds Inc 8424 Tunney Ave Northridge CA 91324-4263 Ph: (818) 645-7375 | Mary Leah T. Lorenzo Dds Inc 9535 Reseda Blvd Ste 213 Northridge CA 91324-6028 Ph: (818) 718-2566 |
| NPI Number | 1396463824 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396463824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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