Individual
MR. JOSE MIGUEL LORASANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W 138TH ST APT 3G, NEW YORK, NY 10030-2369
(929) 350-3667
Mailing address
120 W 138TH ST APT 3G, NEW YORK, NY 10030-2369
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
07/25/2016
Last updated
07/11/2019
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