Individual
DR. GREG A LOITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
33 PALMA AVE, LA SELVA BEACH, CA 95076-1729
(831) 566-1112
(833) 233-3943
Mailing address
33 PALMA AVE, LA SELVA BEACH, CA 95076-1729
(831) 566-1112
(833) 233-3943
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
G52694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G52694
MEDICAL BOARD OF CALIF
CA
Enumeration date
11/02/2006
Last updated
01/27/2021
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