Provider Demographics
NPI:1275628133
Name:LOPEZ AND NOYES DENTAL CORP
Entity Type:Organization
Organization Name:LOPEZ AND NOYES DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NOYES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-691-8917
Mailing Address - Street 1:374 H ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-5547
Mailing Address - Country:US
Mailing Address - Phone:619-691-8917
Mailing Address - Fax:619-691-8920
Practice Address - Street 1:374 H ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-5547
Practice Address - Country:US
Practice Address - Phone:619-691-8917
Practice Address - Fax:619-691-8920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental