Provider Demographics
NPI:1245570498
Name:LOZANO, ALEXIA ROXANA OVIEDO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXIA ROXANA
Middle Name:OVIEDO
Last Name:LOZANO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ALEXIA
Other - Middle Name:R
Other - Last Name:OVIEDO DE LOZANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2000 SIERRA RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518
Mailing Address - Country:US
Mailing Address - Phone:925-246-4802
Mailing Address - Fax:
Practice Address - Street 1:2000 SIERRA RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518
Practice Address - Country:US
Practice Address - Phone:925-246-4802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA62005122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist