Individual
DR. JUSTIN LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4400 DORCHESTER RD, NORTH CHARLESTON, SC 29405-6849
(843) 790-0626
Mailing address
3951 SW 140TH AVE, MIAMI, FL 33175-6457
(305) 815-7899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28114
FL
1223G0001X
General Practice Dentistry
Primary
DGD.11015.GD
SC
Other
Enumeration date
06/12/2023
Last updated
02/03/2025
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