Individual provider · Type 1 NPI
Brock Jason Lorenz, DMD, M.S.
Periodontics · La Mesa, CA
NPI number
1861839243
Active
Practice location
4636 Lee Ave
La Mesa, CA 91942-6939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 61270 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Other periodontics providers in La Mesa
About NPI 1861839243
Brock Jason Lorenz, DMD, M.S.'s National Provider Identifier is 1861839243, issued on May 27, 2013. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in La Mesa, CA. The record was last updated on Jul 23, 2014.