Organization
LOURENCO DDS. INC
Active
Other names
MY TOOTH PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURY ARROYO LOURENCO DDS (PRESIDENT)
(714) 539-7974
Entity
Organization
Contact information
Practice address
12112 BROOKHURST STREET, SUITE 1, GARDEN GROVE, CA 92840-2844
(714) 539-7974
(714) 539-7976
Mailing address
12112 BROOKHURST ST, SUITE 1, GARDEN GROVE, CA 92840-2844
(714) 539-7974
(714) 539-7976
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
56298
CA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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