Individual
CARMEN DENISE MAROON-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2648 MAIN ST STE A, CHULA VISTA, CA 91911-4664
(619) 423-5200
(619) 423-2706
Mailing address
2648 MAIN ST STE A, CHULA VISTA, CA 91911-4664
(619) 423-5200
(619) 423-2706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D40672
CA
Other
Enumeration date
02/11/2009
Last updated
08/25/2010
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