Individual
AMELIA LOPEZ-QUIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
16300 CRENSHAW BLVD, STE 108, TORRANCE, CA 90504-1439
(310) 327-0001
(310) 327-4011
Mailing address
16300 CRENSHAW BLVD, STE 108, TORRANCE, CA 90504-1439
(310) 327-0001
(310) 327-4011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93800-01
DENTI-CAL
CA
Enumeration date
10/21/2006
Last updated
07/08/2007
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