Provider Demographics
NPI:1619977352
Name:DONES, LORNA PULIDO (DMD)
Entity Type:Individual
Prefix:MS
First Name:LORNA
Middle Name:PULIDO
Last Name:DONES
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14282 SPRINGDALE ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3540
Mailing Address - Country:US
Mailing Address - Phone:714-891-3719
Mailing Address - Fax:
Practice Address - Street 1:6552 BOLSA AVE
Practice Address - Street 2:STE K
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-2660
Practice Address - Country:US
Practice Address - Phone:714-892-6603
Practice Address - Fax:714-892-1162
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA312461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice