Provider Demographics
NPI:1023380870
Name:LORENZANA, ANA CRISTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:CRISTINA
Last Name:LORENZANA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 WEST 10TH ST.
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509
Mailing Address - Country:US
Mailing Address - Phone:925-522-0277
Mailing Address - Fax:925-522-8428
Practice Address - Street 1:716 W 10TH ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-1561
Practice Address - Country:US
Practice Address - Phone:925-522-0277
Practice Address - Fax:925-522-8428
Is Sole Proprietor?:No
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA434611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice