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Organization
ROSELLE C LOPEZ LLC
Active
Organization
ROSELLE C LOPEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSELLE CABANA LOPEZ DDS (FOUNDER/CEO)
(909) 510-3524
Entity
Organization
Contact information
Practice address
6521 AUTUMN GLEN CT., RANCHO CUCAMONGA, CA 91701-9228
(909) 297-9026
Mailing address
6521 AUTUMN GLEN CT., RANCHO CUCAMONGA, CA 91701-9228
(909) 297-9026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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