M Laura De Lopez Dental Corp

NPI #1447431887 in Pomona, California

Provider Information

NPI Number: 1447431887
Entity Type: Organization
Organization Name: M Laura De Lopez Dental Corp
Primary Specialty: Dentist
Enumeration Date: Nov 14, 2007
Last Updated: Nov 14, 2007

Practice Location

Address: 1320 N GAREY AVENUE
City: Pomona
State: California
ZIP Code: 91767
Phone: (909) 623-4487

Authorized Official

Name: MRS. MARIA LAURA DE LOPEZ, DDS
Title: DENTIST OWNER
Phone: (909) 623-4487

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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