Provider Demographics
NPI:1891288072
Name:A. ARROYO LOURENCO DDS, INC
Entity type:Organization
Organization Name:A. ARROYO LOURENCO DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AVRY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARROYO-LOURENCO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-825-2175
Mailing Address - Street 1:827 W VALLEY BLVD.
Mailing Address - Street 2:
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324
Mailing Address - Country:US
Mailing Address - Phone:909-825-2175
Mailing Address - Fax:909-825-0964
Practice Address - Street 1:827 W VALLEY BLVD.
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324
Practice Address - Country:US
Practice Address - Phone:909-825-2175
Practice Address - Fax:909-825-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA562981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty