Individual
MR. LAWRENCE WENCESLAO SARAOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
1406 N AZUSA AVE, SUITE C, COVINA, CA 91722-1257
(626) 858-9940
Mailing address
12121 WILSHIRE BLVD, SUITE 1111, LOS ANGELES, CA 90025-1123
(310) 820-9933
(310) 820-0408
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
65767
CA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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