Individual
JAIME LORENCEZ LOZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11092 ANDERSON ST, LOMA LINDA, CA 92350-1706
(909) 558-4613
Mailing address
11092 ANDERSON ST, LOMA LINDA, CA 92350-1706
(909) 558-4613
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
SP193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP193
STATE LICENSE
CA
Enumeration date
07/23/2007
Last updated
07/23/2007
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