Individual
MARCO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
360 5TH ST, COLUSA, CA 95932-2467
(530) 458-3614
Mailing address
360 5TH ST, COLUSA, CA 95932-2467
(530) 458-3614
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
36358
CA
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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