Healthcare Provider Details

I. General information

NPI: 1356561401
Provider Name (Legal Business Name): LORENA P PRETTO D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LONE STAR PASS BLDG 46
SAN ANTONIO TX
78264-3638
US

IV. Provider business mailing address

40 BURTON HILLS BLVD SUITE 200
NASHVILLE TN
37215-6155
US

V. Phone/Fax

Practice location:
  • Phone: 210-263-5700
  • Fax: 210-263-5701
Mailing address:
  • Phone: 615-565-1733
  • Fax: 615-296-0151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14990
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: