Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
MARYSOL B. REALON DDS A PROF. DENTAL CORP
Active
Organization
MARYSOL B. REALON DDS A PROF. DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYSOL B. REALON DDS (DENTIST)
(209) 629-8573
Entity
Organization
Contact information
Practice address
259 E. LOUISE AVE, LATHROP, CA 95330
(209) 629-8573
(209) 629-8574
Mailing address
259 E. LOUISE AVE, LATHROP, CA 95330
(209) 629-8573
(209) 629-8574
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53855
CA
Other
Enumeration date
05/20/2008
Last updated
05/26/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up