Provider Demographics
NPI:1699816108
Name:LOPEZ-SHAMS, MARIA CAROLINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CAROLINA
Last Name:LOPEZ-SHAMS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:LOPEZ-SHAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:3452 MAJESTIC DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4857
Mailing Address - Country:US
Mailing Address - Phone:916-435-9511
Mailing Address - Fax:
Practice Address - Street 1:6015 WATT AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-4294
Practice Address - Country:US
Practice Address - Phone:916-679-3925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA375791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice