Individual
YESENIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21292 SHORT RIDGE ST, PERRIS, CA 92570-9086
(951) 420-3628
Mailing address
21292 SHORT RIDGE ST, PERRIS, CA 92570-9086
(951) 420-3628
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA91193
CA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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