Dr. John William Lorenz, DDS
Dentist, General Practice in Fairfield, CA. Individual provider (NPI-1).
NPI number1235656604
StatusActive
Last updated in NPPESAug 27, 2017
Details
- NPI
- 1235656604
- Entity type
- Individual (NPI-1)
- Name
- Dr. John William Lorenz
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2017
- Last updated
- Aug 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DDS-09401 | IA | Yes |
Practice location
101 Bodin CirFairfield, CA 94535-1809
Phone 707-799-7008
Mailing address
300 Crescent Dr Apt 370Vacaville, CA 95688-9587
Phone 847-946-4678
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