Individual
DR. ANTONIO MABURTAS LAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9755 ALONDRA BLVD, BELLFLOWER, CA 90706-3677
(562) 925-3842
Mailing address
9928 KESWICK ST, BURBANK, CA 91504-1022
(818) 768-2246
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
51955
CA
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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