Marysol B. Realon Dds A Prof. Dental Corp in Lathrop - Dentist
Marysol B. Realon Dds A Prof. Dental Corp - NPI 1508023235
Marysol B. Realon Dds A Prof. Dental Corp is a Dentist in Lathrop, California. Marysol B. Realon Dds A Prof. Dental Corp practices all healthcare services and medical treatments related to Dentist. The NPI Number for Marysol B. Realon Dds A Prof. Dental Corp is 1508023235. The last update date is 2015-05-26.
Marysol B. Realon Dds A Prof. Dental Corp's current location address is 259 E. Louise Ave, Lathrop, California. You can contact this provider via phone number 2096298573 and fax number 2096298574. The mailing address for Marysol B. Realon Dds A Prof. Dental Corp is 259 E. Louise Ave, Lathrop, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marysol B. Realon Dds A Prof. Dental Corp |
|---|---|
| Address | 259 E. Louise Ave, Lathrop, California |
| Phone Number | 2096298573 |
| Fax Number | 2096298574 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Realon B. Marysol |
| Credentials | DDS |
| Telephone Number | 2096298573 |
NPI Number Detail
| NPI Number | 1508023235 |
|---|---|
| Provider Enumeration Date | 2008-05-20 |
| Last Updated Date | 2015-05-26 |
Provider Mailing Address Detail
| Address | 259 E. Louise Ave |
|---|---|
| City | Lathrop |
| State | California (CA) |
| Post Code | 95330 |
| Phone Number | 2096298573 |
| Fax Number | 2096298574 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 53855 |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to Marysol B. Realon Dds A Prof. Dental Corp by the Centers for Medicare & Medicaid Services (CMS)?
The Marysol B. Realon Dds A Prof. Dental Corp has been assigned the NPI (National Provider Identifier) 1508023235. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Marysol B. Realon Dds A Prof. Dental Corp is physically located?
The Marysol B. Realon Dds A Prof. Dental Corp is situated at the following address: 259 E. Louise Ave, Lathrop, CA 95330.
What is Marysol B. Realon Dds A Prof. Dental Corp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marysol B. Realon Dds A Prof. Dental Corp is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508023235 to Marysol B. Realon Dds A Prof. Dental Corp?
The Marysol B. Realon Dds A Prof. Dental Corp received its 1508023235 assignment from the Centers for Medicare & Medicaid Services on 2008-05-20.
When was the information related to Marysol B. Realon Dds A Prof. Dental Corp most recently updated or refreshed?
The details pertaining to the Marysol B. Realon Dds A Prof. Dental Corp, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-26.
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