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Organization

BROCK LORENZ DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BROCK JASON LORENZ DMD (PRESIDENT)
(619) 804-8339
Entity
Organization

Contact information

Practice address
5963 E SPRING ST, LONG BEACH, CA 90808-3752
(562) 421-8401
Mailing address
5963 E SPRING ST, LONG BEACH, CA 90808-3752
(562) 421-8401

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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