Dr Brock Jason Lorenz, DMD, MS | |
4636 Lee Ave, La Mesa, CA 91942-6939 | |
(619) 804-8339 | |
Not Available |
Full Name | Dr Brock Jason Lorenz |
---|---|
Gender | Male |
Speciality | Dentist - Periodontics |
Location | 4636 Lee Ave, La Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861839243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 61270 (California) | Primary |
Entity Name | Pouldar Kimia And Lorenz Dental Partnership |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639624463 PECOS PAC ID: 5092095273 Enrollment ID: O20161205001164 |
Mailing Address | Practice Location Address |
---|---|
Dr Brock Jason Lorenz, DMD, MS 4636 Lee Ave, La Mesa, CA 91942-6939 Ph: (619) 804-8339 | Dr Brock Jason Lorenz, DMD, MS 4636 Lee Ave, La Mesa, CA 91942-6939 Ph: (619) 804-8339 |
Lyudvig Vaniyants, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6062 Lake Murray Blvd, La Mesa, CA 91942 Phone: 619-461-1265 Fax: 619-461-1354 | |
Dr. Dennis Michael O'brien, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Lake Murray Blvd, Suite D, La Mesa, CA 91942 Phone: 619-337-2970 | |
Dr. Federico Jesus Tiznado, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 7877 Parkway Dr Ste 2b, La Mesa, CA 91942 Phone: 619-463-6758 Fax: 619-463-6797 | |
Dr. Jose Emmanuel Rubio De Luna, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5601 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-462-2272 | |
Dr. Stephen Francis Mann, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5308 Lake Murray Blvd, Suite B, La Mesa, CA 91942 Phone: 619-697-1021 Fax: 619-697-1650 | |
Dr. Thomas Gregory Waddell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Suite 356, La Mesa, CA 91942 Phone: 619-461-1900 Fax: 619-461-6581 | |
Yo Imai-marshall, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3855 Avocado Blvd, Suite 200, La Mesa, CA 91941 Phone: 619-670-4018 |