Jessica Lopez

NPI #1194058008 in Hawthorne, California

Provider Information

NPI Number: 1194058008
Entity Type: Individual
Name: Jessica Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Sep 9, 2009
Last Updated: Sep 9, 2009

Practice Location

Address: 12730 HAWTHORNE BLVD
Address 2: SUITE D
City: Hawthorne
State: California
ZIP Code: 90250-3919
Phone: (310) 644-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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