Provider Demographics
NPI:1972376507
Name:PABLO LAZARO DDS INC
Entity Type:Organization
Organization Name:PABLO LAZARO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAZARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-540-7101
Mailing Address - Street 1:3906 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3915
Mailing Address - Country:US
Mailing Address - Phone:714-540-7101
Mailing Address - Fax:714-540-6061
Practice Address - Street 1:3906 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3915
Practice Address - Country:US
Practice Address - Phone:714-540-7101
Practice Address - Fax:714-540-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental