Lazcano Family Dental Group

NPI #1174056931 in Van Nuys, California

Provider Information

NPI Number: 1174056931
Entity Type: Organization
Organization Name: Lazcano Family Dental Group
Primary Specialty: Dentist
Enumeration Date: Apr 9, 2017
Last Updated: Apr 9, 2017

Practice Location

Address: 15355 SHERMAN WAY
Address 2: SUITE P
City: Van Nuys
State: California
ZIP Code: 91406-4200
Phone: (954) 205-3183

Authorized Official

Name: MARITZA LAZCANO, DDS
Title: GENERAL DENTIST
Phone: (954) 205-3183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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