Individual
JOHN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17543 HIBISCUS ST, FONTANA, CA 92335-5036
(909) 927-9177
Mailing address
17543 HIBISCUS ST, FONTANA, CA 92335-5036
(909) 927-9177
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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