Individual
MS. ELSY NOEMI LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
8456 MADISON AVE, SOUTH GATE, CA 90280-2244
(310) 916-8709
Mailing address
8456 MADISON AVE, SOUTH GATE, CA 90280-2244
(310) 916-8709
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP137
CA
Other
Enumeration date
02/24/2008
Last updated
02/24/2008
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