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1104957075
VIVIAN FERNANDE LOPEZ
BERKELEY, CA
NPI
1104957075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: CA 29355)
Enumeration Date
2007-03-09
Last Update Date
2007-07-09
Business Address
DR. VIVIAN FERNANDE LOPEZ D.D.S.
2821 TELEGRAPH AVE
BERKELEY, CA 94705-1118
Phone number: 510-848-4430
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Mailing Address
DR. VIVIAN FERNANDE LOPEZ D.D.S.
2821 TELEGRAPH AVE
BERKELEY, CA 94705-1118
Phone number: 510-848-4430
Copy
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