M Laura de Lopez Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

47874 Issued in CA

Legal business name

M LAURA DE LOPEZ DENTAL CORP

Practice address

1320 N Garey Avenue
Pomona, CA 91767

Phone

(909) 623-4487

Fax

(909) 623-4645

NPI assigned

Nov 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Maria Laura De Lopez, DDS

Title

Dentist Owner

Phone

(909) 623-4487

Specialties & licenses 1

Addresses

Other names 1

• M Laura De Lopez Dental Corp Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laura De Lopez, D.D.S.

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1417089459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1447431887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N GAREY AVENUE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-623-4487",
            "fax_number": "909-623-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N GAREY AVENUE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-623-4487",
            "fax_number": "909-623-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M LAURA DE LOPEZ DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "DE LOPEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "909-623-4487",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M Laura De Lopez Dental Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lien T Ly, PHARM.D.
• Nora Lyang
• Victoria Lynne
• Emily Jessica Lyon
• Kevin Lyons
• M. Jay Porcelli DO a Medical Corporation
• Claire Ma
• Lee Kenneth Maas, M.D.
• Gilberto Macancela Jr.
• Joshua Padilla Macapagal

• Dentist in Pomona, CA
• Providers in Pomona, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.