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Organization
JOSE LUIS LOPEZ DDS, INC.
Active
Organization
JOSE LUIS LOPEZ DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS LOPEZ BENDEZU DDS (DENTIST)
(714) 429-6734
Entity
Organization
Contact information
Practice address
3127 BALDWIN PARK BLVD STE D, BALDWIN PARK, CA 91706-4754
(626) 962-3500
(626) 962-3551
Mailing address
3127 BALDWIN PARK BLVD STE D, BALDWIN PARK, CA 91706-4754
(626) 962-3500
(626) 962-3551
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033626247
INSURERS
CA
05
—
1033626247
—
CA
Enumeration date
09/10/2021
Last updated
09/10/2021
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