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Individual

JUAN LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1725 W 6TH ST, LOS ANGELES, CA 90017-1000
(213) 413-5151
Mailing address
1725 W 6TH ST, LOS ANGELES, CA 90017-1000
(213) 413-5151

Taxonomy

Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary

Other

Enumeration date
01/02/2013
Last updated
01/02/2013
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