Individual
LANE J LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2859 LOMA VISTA ROAD, SUITE A, VENTURA, CA 93003
(805) 648-5121
(805) 648-3670
Mailing address
2859 LOMA VISTA ROAD, SUITE A, VENTURA, CA 93003
(805) 648-5121
(805) 648-3670
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
18369
CA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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