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
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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