| Roselle C Lopez Llc | |
|
6521 Autumn Glen Ct. Rancho Cucamonga CA 91701-9228 | |
| (909) 297-9026 | |
| Not Available |
| Full Name | Roselle C Lopez Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6521 Autumn Glen Ct., Rancho Cucamonga, California |
| Authorized Official Name and Position | Roselle Cabana Lopez (FOUNDER/CEO) |
| Authorized Official Contact | 9095103524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roselle C Lopez Llc 6521 Autumn Glen Ct. Rancho Cucamonga CA 91701-9228 Ph: (909) 297-9026 | Roselle C Lopez Llc 6521 Autumn Glen Ct. Rancho Cucamonga CA 91701-9228 Ph: (909) 297-9026 |
| NPI Number | 1639993728 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639993728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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