Individual
NANCY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
27777
CA
126800000X
Dental Assistant
Primary
67522
CA
Other
Enumeration date
06/10/2013
Last updated
08/26/2013
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