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Organization

LOREN DALE RENCH JR. DDS INC

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Organization

LOREN DALE RENCH JR. DDS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LOREN DALE RENCH JR. DDS (PRESIDENT)
(562) 494-3477
Entity
Organization

Contact information

Practice address
1650 XIMENO AVE, SUITE #200, LONG BEACH, CA 90804-2150
(562) 494-3477
(562) 986-0043
Mailing address
1650 XIMENO AVE, SUITE #200, LONG BEACH, CA 90804-2150
(562) 494-3477
(562) 986-0043

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28232
CA

Other

Enumeration date
02/27/2007
Last updated
08/22/2020
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