| Jose Luis Lopez Dds, Inc. | |
|
3127 Baldwin Park Blvd Ste D Baldwin Park CA 91706-4754 | |
| (626) 962-3500 | |
| (626) 962-3551 |
| Full Name | Jose Luis Lopez Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3127 Baldwin Park Blvd Ste D, Baldwin Park, California |
| Authorized Official Name and Position | Jose Luis Lopez Bendezu (DENTIST) |
| Authorized Official Contact | 7144296734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Luis Lopez Dds, Inc. 3127 Baldwin Park Blvd Ste D Baldwin Park CA 91706-4754 Ph: (626) 962-3500 | Jose Luis Lopez Dds, Inc. 3127 Baldwin Park Blvd Ste D Baldwin Park CA 91706-4754 Ph: (626) 962-3500 |
| NPI Number | 1497424592 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 09/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497424592 | NPI | - | NPPES |
| 1033626247 | Other | CA | INSURERS |
| 1033626247 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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