Mary Leah Tan Lorenzo, D.D.S.
NPI #1144538596 in Northridge, California
Provider Information
- NPI Number
- 1144538596
- Entity Type
- Individual
- Name
- Mary Leah Tan Lorenzo, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 20, 2010
- Last Updated
- Sep 20, 2010
Practice Location
- Address
- 9535 RESEDA BLVD
- Address 2
- STE 213
- City
- Northridge
- State
- California
- ZIP Code
- 91324-2310
- Phone
- (818) 718-2566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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