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Organization
MAROON-LOPEZ DDS, PC
Active
Organization
MAROON-LOPEZ DDS, PC
Active
Other names
Carmen Denise Maroon Lopez
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN DENISE MAROON-LOPEZ DDS, PC (PRESIDENT)
(619) 423-5200
Entity
Organization
Contact information
Practice address
2648 MAIN ST STE A, CHULA VISTA, CA 91911-4664
(619) 423-5200
(619) 423-2706
Mailing address
2648 MAIN ST STE A, CHULA VISTA, CA 91911-4664
(619) 423-5200
(619) 423-2706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316186562
DENTAL
CA
Enumeration date
05/04/2015
Last updated
05/04/2015
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