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LOURENCO DDS. INC NPI 1730467044


NPI Information

NPI: 1730467044
Provider Name: LOURENCO DDS. INC

Doing Business As: MY TOOTH PLACE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
12112 BROOKHURST STREET
SUITE 1
GARDEN GROVE, CA
ZIP 92840
Phone: (714) 539-7974
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LOURENCO DDS. INC is a dental clinic center in Garden Grove, CA. LOURENCO DDS. INC NPI is 1730467044. The provider is registered as an organization entity type.
The provider Is Doing Business As My Tooth Place.

The provider's business location address is:

12112 BROOKHURST STREET
SUITE 1
GARDEN GROVE, CA
ZIP 92840-844
Phone: (714) 539-7974
Fax: (714) 539-7976

The provider's authorized official is Aury Arroyo Lourenco .
The authorized official title is President and has the following contact phone number (714) 539-7974.

The enumeration date for this NPI number is 8/3/2011 and was last updated on 8/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental56298CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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