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1861839243
BROCK JASON LORENZ
LA MESA, CA
NPI
1861839243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: CA 61270)
Enumeration Date
2013-05-27
Last Update Date
2014-07-23
Business Address
DR. BROCK JASON LORENZ D.M.D., M.S.
4636 LEE AVE
LA MESA, CA 91942-6939
Phone number: 619-804-8339
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Mailing Address
DR. BROCK JASON LORENZ D.M.D., M.S.
4636 LEE AVE
LA MESA, CA 91942-6939
Phone number: 619-804-8339
Copy
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