BROCK JASON LORENZ

LA MESA, CA
NPI1861839243
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: CA  61270)
Enumeration Date2013-05-27
Last Update Date2014-07-23
Business Address
Dr. BROCK JASON LORENZ D.M.D., M.S.
4636 LEE AVE
LA MESA, CA 91942-6939
Phone number: 619-804-8339
Mailing Address
Dr. BROCK JASON LORENZ D.M.D., M.S.
4636 LEE AVE
LA MESA, CA 91942-6939
Phone number: 619-804-8339
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