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Individual

DAVID MIGUEL LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
30035 HAUN RD BLDG B, MENIFEE, CA 92584-6805
(951) 566-9090
Mailing address
212 CLEAR LAKE ST, PERRIS, CA 92571-2770

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
112918
CA

Other

Enumeration date
05/18/2026
Last updated
05/18/2026
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