Marysol B Realon is a Dentist in Lathrop, California. Marysol B Realon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Marysol B Realon is 1831302389. The last update date is 2022-12-01.
Marysol B Realon's current location address is 259 E. Louise Ave, Lathrop, California. You can contact this provider via phone number 2096298573. The mailing address for Marysol B Realon is 259 E. Louise Ave, Lathrop, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marysol B Realon |
|---|---|
| Address | 259 E. Louise Ave, Lathrop, California |
| Phone Number | 2096298573 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1831302389 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2022-12-01 |
Provider Mailing Address Detail
| Address | 259 E. Louise Ave |
|---|---|
| City | Lathrop |
| State | California (CA) |
| Post Code | 953309752 |
| Phone Number | 2096298573 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 53855 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Marysol B Realon by the Centers for Medicare & Medicaid Services?
The Marysol B Realon has been issued the NPI (National Provider Identifier) 1831302389 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Marysol B Realon?
The Marysol B Realon is situated at 259 E. Louise Ave, in the city of Lathrop, state of CA, with the zip code 953309752.
What is the Marysol B Realon's specialty and taxonomy code?
The Marysol B Realon's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did Marysol B Realon receive its 1831302389 assignment from the Centers for Medicare & Medicaid Services?
The Marysol B Realon was assigned its 1831302389 on 2007-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Marysol B Realon most recently updated or revised?
The information pertaining to Marysol B Realon, including its address, specialty, and other relevant details, was last updated or revised on 2022-12-01.
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