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Organization
LAWRENCE M. LOZADA D.D.S. PROFESSIONAL CORPORATION
Active
Organization
LAWRENCE M. LOZADA D.D.S. PROFESSIONAL CORPORATION
Active
Other names
Pinnacle Peak Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE M. LOZADA D.D.S. (DENTIST)
(323) 664-9363
Entity
Organization
Contact information
Practice address
4855 SANTA MONICA BLVD STE 111, LOS ANGELES, CA 90029-2654
(323) 664-9363
(661) 425-9590
Mailing address
4855 SANTA MONICA BLVD STE 111, LOS ANGELES, CA 90029-2654
(323) 664-9363
(661) 425-9590
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
50486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50486
DENTAL LICENSE
CA
Enumeration date
08/04/2016
Last updated
08/04/2016
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