Provider Demographics
NPI:1942457106
Name:LOURENCO, AURY ARROYO (DDS)
Entity Type:Individual
Prefix:
First Name:AURY
Middle Name:ARROYO
Last Name:LOURENCO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AURY
Other - Middle Name:A
Other - Last Name:DISTEFANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5934 WESTMINSTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3546
Mailing Address - Country:US
Mailing Address - Phone:714-373-1300
Mailing Address - Fax:714-373-1304
Practice Address - Street 1:5934 WESTMINSTER BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3546
Practice Address - Country:US
Practice Address - Phone:714-373-1300
Practice Address - Fax:714-373-1304
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA562981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice