Carlos Lopez Diaz DDS Dental Corporation
NPI #1225529464 in West Covina, California
Provider Information
- NPI Number
- 1225529464
- Entity Type
- Organization
- Organization Name
- Carlos Lopez Diaz DDS Dental Corporation
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CARLOS LOPEZ DIAZ DDS DENTAL CO
- Primary Specialty
- Dentist
- Enumeration Date
- May 23, 2018
- Last Updated
- May 23, 2018
Practice Location
- Address
- 19046 LA PUENTE RD
- City
- West Covina
- State
- California
- ZIP Code
- 91792
- Phone
- (626) 200-1900
Authorized Official
- Name
- DR. CARLOS LOPEZ DIAZ, DDS
- Title
- PRESIDENT
- Phone
- (226) 200-1900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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