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General NPI Number Information
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NPI Number | 1457232746
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Entity Type | Organization
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Legal Business Name | AURY LOURENCO A PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1801 COLLEGE AVE
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City | SANTA ANA
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State | CA
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Zip | 92706-2332
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Country | US
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Telephone | 714-486-3216
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Fax | 714-486-3220
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Provider Business Mailing Address
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Address Line | 1801 COLLEGE AVE
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City | SANTA ANA
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State | CA
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Zip | 92706-2332
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Country | US
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Telephone | 714-486-3216
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Fax | 714-486-3220
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Authorized Official
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Title or Position | DENTAL PROVIDER
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Name | AURY ARROYO LOURENCO
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Credential | DDS
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Telephone | 949-501-5122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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