| NPI | 1396463824 |
|---|---|
| Doing Business As | MARY LEAHT. LORENZO DDS INC |
| Entity Type | Organization |
| Authorized Contact | MARY LEAH TAN LORENZO President 818-645-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |