Provider Demographics
NPI:1407242472
Name:LOZANO-PINEDA, JUANITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUANITA
Middle Name:
Last Name:LOZANO-PINEDA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:JUANITA
Other - Middle Name:LOZANO
Other - Last Name:PINEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:66 REYNOSA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2314
Mailing Address - Country:US
Mailing Address - Phone:830-438-8353
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:MC 7914
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-3196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15343122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist