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Individual
DR. MARIA LOURDES BRIZ DIMATERA
Active
Individual
DR. MARIA LOURDES BRIZ DIMATERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44862
RENDERING PROVIDER NUMBER
CA
01
—
D44862
RENDERING PROVIDER NUMBER
CA
Enumeration date
12/31/2006
Last updated
07/08/2007
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