| NPI | 1447431887 |
|---|---|
| Former Legal Business Name | M LAURA DE LOPEZ DENTAL CORP |
| Entity Type | Organization |
| Authorized Contact | MARIA LAURA DE LOPEZ Dentist Owner 909-623-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 47874) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |