MARY LEAH TAN LORENZO

NORTHRIDGE, CA
NPI1144538596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CA  58868)
Enumeration Date2010-09-20
Last Update Date2010-09-20
Business Address
-- MARY LEAH TAN LORENZO D.D.S.
9535 RESEDA BLVD STE 213
NORTHRIDGE, CA 91324-2310
Phone number: 818-718-2566
Mailing Address
-- MARY LEAH TAN LORENZO D.D.S.
7540 CANBY AVE #2
RESEDA, CA 91335-8206
Phone number: 818-645-7375
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