Mary Leah T. Lorenzo DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MARY LEAH T. LORENZO DDS INC

Doing business as

Mary Leaht. Lorenzo DDS Inc

Practice address

9535 Reseda Blvd Ste 213
Northridge, CA 91324-6028

Phone

(818) 718-2566

NPI assigned

Aug 19, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Leah Tan Lorenzo, DDSNPI 1144538596

Title

President

Phone

(818) 645-7375

Specialties & licenses 1

Addresses

Other names 1

• MARY LEAHT. LORENZO DDS INC Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Leah Tan Lorenzo, D.D.S.

  • General Practice Dentistry
  • Northridge, CA
  • NPI 1144538596
  NPD Authorized official
• Nida Rioga Relativo, D.D.S.

  • General Practice Dentistry
  • Northridge, CA
  • NPI 1962521542
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1396463824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 TUNNEY AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244263",
            "telephone_number": "818-645-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 RESEDA BLVD STE 213",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913246028",
            "telephone_number": "818-718-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LEAH T. LORENZO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "MARY LEAH",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-645-7375",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARY LEAHT. LORENZO DDS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Martinez
• Roxana Elizabeth Martinez
• Sandra Martinez
• Stephanie Lizeth Martinez
• Tania Martinez
• Mas Pro Group LLC (Wish Recovery IOP)
• Valerie Masariegos
• Matthew John Masatani
• Didier Mascarade, D.C.
• Jacqueline Masequesmay, M.D.

• Dental Clinic/Center in Northridge, CA
• Providers in Northridge, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.