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1144538596
MARY LEAH TAN LORENZO
NORTHRIDGE, CA
NPI
1144538596
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 58868)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
-- MARY LEAH TAN LORENZO D.D.S.
9535 RESEDA BLVD STE 213
NORTHRIDGE, CA 91324-2310
Phone number: 818-718-2566
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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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