Individual
MICHAEL DE LORENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
169 UNION BLVD, 2-F, TOTOWA, NJ 07512-2603
(201) 787-8549
Mailing address
81 ELCOCK AVE, BOONTON, NJ 07005-1100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI 01595300
NJ
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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