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Organization
LAZCANO FAMILY DENTAL GROUP
Active
Organization
LAZCANO FAMILY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA LAZCANO DDS (GENERAL DENTIST)
(954) 205-3183
Entity
Organization
Contact information
Practice address
15355 SHERMAN WAY, SUITE P, VAN NUYS, CA 91406-4200
(954) 205-3183
Mailing address
15355 SHERMAN WAY, SUITE P, VAN NUYS, CA 91406-4200
(954) 205-3183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
101016
CA
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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