# DR YARA LOPEZ DENTISTRY PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336698109
- **Authorized official:** DR. YARA SCARLETTE LOPEZ DDS (CEO)
- **Authorized official phone:** (661) 441-4115

## Contact information

- **Practice address:** 40112 170TH ST E STE C, PALMDALE, CA 93591-3154
- **Practice address phone:** (661) 441-4115
- **Practice address fax:** (661) 441-4337
- **Mailing address:** 40112 170TH ST E STE C, PALMDALE, CA 93591-3154
- **Mailing address phone:** (661) 441-4115
- **Mailing address fax:** (661) 441-4337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 57581 | CA | Yes |

## Other

- **Enumeration date:** 09/22/2016
- **Last updated:** 09/22/2016