Individual
ALEX DIAZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2814 CAMINO DOS RIOS STE 401, NEWBURY PARK, CA 91320-1161
(805) 375-2499
(805) 375-8642
Mailing address
2814 CAMINO DOS RIOS STE 401, NEWBURY PARK, CA 91320-1161
(805) 375-2499
(805) 375-8642
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
44012
CA
Other
Enumeration date
07/10/2008
Last updated
02/24/2014
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