Individual
MR. LORENZO STEPHEN VAZZANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2955 CRAIN HWY, WALDORF, MD 20601-2810
(301) 843-9330
(301) 645-4654
Mailing address
11295 KERRICK CT, LA PLATA, MD 20646-3323
(301) 932-6805
(301) 932-6805
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4387
MD
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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