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Organization
JACQUELINE LOPEZ DDS INC
Active
Organization
JACQUELINE LOPEZ DDS INC
Active
Other names
Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE V LOPEZ DDS (DENTIST)
(818) 255-2244
Entity
Organization
Contact information
Practice address
12120 SATICOY ST, STE. C, NORTH HOLLYWOOD, CA 91605-3055
(818) 255-2244
(818) 255-2223
Mailing address
12120 SATICOY ST, STE. C, NORTH HOLLYWOOD, CA 91605-3055
(818) 255-2244
(818) 255-2223
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
62003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210745
ACCESS DENTAL ID
CA
Enumeration date
10/21/2014
Last updated
10/21/2014
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