Individual
DARIEN GONZALO LAZARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1ST DENBN/NDC #330305, CAMP PENDLETON, CA 92055
(760) 725-3879
Mailing address
P.O. BOX 555221, 1ST DENBN/NDC #330305, CAMP PENDLETON, CA 92055
(760) 725-3879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58127
CA
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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