Provider Demographics
NPI:1801905989
Name:LOZADA, MARIA J (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:J
Last Name:LOZADA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:22323 SHERMAN WAY
Mailing Address - Street 2:SUITE #19-20
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-1002
Mailing Address - Country:US
Mailing Address - Phone:818-884-8110
Mailing Address - Fax:818-884-0780
Practice Address - Street 1:22323 SHERMAN WAY
Practice Address - Street 2:SUITE #19-20
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-1002
Practice Address - Country:US
Practice Address - Phone:818-884-8110
Practice Address - Fax:818-884-0780
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice