Organization
JOSE LUIS LOPEZ DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS LOPEZ DDS (OWNER/DENTIST)
(714) 429-6734
Entity
Organization
Contact information
Practice address
2500 DEL ROSA AVE, SAN BERNARDINO, CA 92404-4442
(909) 713-2041
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
Enumeration date
05/06/2024
Last updated
05/06/2024
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