Individual
DR. ROBERT D LORENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4760 FULTON ST E, SUITE 101, ADA, MI 49301-9097
(616) 957-4560
Mailing address
2105 E SHIAWASSEE DR SE, GRAND RAPIDS, MI 49506-5338
(616) 243-6893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10344
MI
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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