Provider Demographics
NPI:1700372521
Name:NGUYEN LORENZO, PAULINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:
Last Name:NGUYEN LORENZO
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 1:15687 HIGH KNOLL DR UNIT 246
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-2499
Mailing Address - Country:US
Mailing Address - Phone:831-241-1453
Mailing Address - Fax:
Practice Address - Street 1:25425 ORCHARD VILLAGE RD STE 120
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2956
Practice Address - Country:US
Practice Address - Phone:661-403-0148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-04
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1026981223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry