Provider Demographics
NPI:1457232746
Name:AURY LOURENCO A PROFESSIONAL DENTAL CORPORATION
Entity type:Organization
Organization Name:AURY LOURENCO A PROFESSIONAL DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AURY
Authorized Official - Middle Name:ARROYO
Authorized Official - Last Name:LOURENCO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-501-5122
Mailing Address - Street 1:1801 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-2332
Mailing Address - Country:US
Mailing Address - Phone:714-486-3216
Mailing Address - Fax:714-486-3220
Practice Address - Street 1:1801 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-2332
Practice Address - Country:US
Practice Address - Phone:714-486-3216
Practice Address - Fax:714-486-3220
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOOD HABITS DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty