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Organization
BROCK LORENZ DMD MS INC
Active
Organization
BROCK LORENZ DMD MS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROCK J LORENZ DMD MS (PRESIDENT)
(619) 804-8339
Entity
Organization
Contact information
Practice address
16605 DEVONSHIRE ST, GRANADA HILLS, CA 91344-6651
(818) 366-4867
(818) 366-7964
Mailing address
200 PACIFIC COAST HWY UNIT 304, HUNTINGTON BEACH, CA 92648-5190
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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