NPI | 1124237763 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE J LORENZI Sole Proprietor 803-548-8325 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC3588) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2015-05-06 |