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
Phone: (951) 676-2613
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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