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Individual
MARCO LOPEZ
Active
Individual
MARCO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
36358
CA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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