De Lopez, Laura

De Lopez, Laura is an individual health care provider with primary practice located at 1320 N Garey Ave , Pomona CA 91767-3808. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. De Lopez, Laura can be contacted via phone (909) 623-4487.

Contact Information

Primary practice address
1320 N Garey Ave Pomona CA 91767-3808
Phone: (909) 623-4487
Fax: (909) 623-4645
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 47874 California

Profile Details

NPI number 1417089459
LBN Legal business name De Lopez, Laura
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417089459 NPPES
California Other 47874 LICENSE #
California Other D47874 LICENSE #

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