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Individual
ALEX DIAZ LOPEZ
Active
Individual
ALEX DIAZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
44012
CA
Other
Enumeration date
07/10/2008
Last updated
02/24/2014
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