Lopez Diaz, Carlos Alfonso

Lopez Diaz, Carlos Alfonso is an individual health care provider with primary practice located at 31843 Rancho California Rd Ste 300 , Temecula CA 92591-5120. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Lopez Diaz, Carlos Alfonso can be contacted via phone (951) 676-2613.

Contact Information

Primary practice address
31843 Rancho California Rd Ste 300 Temecula CA 92591-5120
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DDS101712 California
Dental Providers / General Practice 1223G0001X DDS California
Dental Providers / Dentist 122300000X 101712 California

Profile Details

NPI number 1467978262
LBN Legal business name Lopez Diaz, Carlos Alfonso
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2017
Last updated Aug 15th, 2017 - about 9 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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