Provider Demographics
NPI:1720570468
Name:LOPEZ, FRANCISCA (RDA)
Entity Type:Individual
Prefix:
First Name:FRANCISCA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:RDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11635 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-6628
Mailing Address - Country:US
Mailing Address - Phone:562-921-0898
Mailing Address - Fax:
Practice Address - Street 1:13428 BENFIELD AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3617
Practice Address - Country:US
Practice Address - Phone:562-868-4387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48196126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant