Individual
ANGELICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
2604 S VERMONT AVE STE F, LOS ANGELES, CA 90007-2298
(323) 212-5495
Mailing address
1412 E 60TH ST, LOS ANGELES, CA 90001-1217
(323) 627-9150
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
92440
CA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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