Individual
DR. LOLA STANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1661 SOQUEL DR STE A, SANTA CRUZ, CA 95065-1709
(831) 476-5512
Mailing address
1016 CAPTAINS CT, SANTA CRUZ, CA 95062-2868
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63804
CA
Other
Enumeration date
08/07/2014
Last updated
06/23/2020
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