| NPI | 1679135222 |
|---|---|
| Former Legal Business Name | LUCY LOPEZ |
| Entity Type | Organization |
| Authorized Contact | LUCY LOPEZ Dentist 619-488-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |