Organization
JOSE LUIS LOPEZ DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS LOPEZ BENDEZU DDS (DENTIST)
(714) 429-6734
Entity
Organization
Contact information
Practice address
3127 BALDWIN PARK BLVD STE D, BALDWIN PARK, CA 91706-4754
(626) 962-3500
(626) 962-3551
Mailing address
3127 BALDWIN PARK BLVD STE D, BALDWIN PARK, CA 91706-4754
(626) 962-3500
(626) 962-3551
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033626247
INSURERS
CA
05
—
1033626247
—
CA
Enumeration date
09/10/2021
Last updated
09/10/2021
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