Individual
MS. DELMY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 N AZUSA AVE STE C, COVINA, CA 91722-1257
(626) 858-9940
(626) 858-9366
Mailing address
14934 LOFTHILL DR, LA MIRADA, CA 90638-5138
(714) 609-1205
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
55025
CA
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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