| NPI | 1225415862 |
|---|---|
| Doing Business As | CARMEN DENISE MAROON LOPEZ |
| Entity Type | Organization |
| Authorized Contact | CARMEN DENISE MAROON-LOPEZ President 619-423-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |