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NPI Code Detail

MEDICARE: GILBERTO LOZANO, DDS, INC

MEDICARE: GILBERTO LOZANO, DDS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center
21223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1881437135
Entity Type Code : Organization
Provider Name (Legal Business Name) : GILBERTO LOZANO, DDS, INC
Provider Business Mailing Address
First Line : 11629 LOWER AZUSA RD STE H
Second Line :
City : EL MONTE
State : CA
Zip : 91732-1389
Country : US
Telephone Number : 626-672-0224
Fax Number :
Provider Business Practice Location Address
First Line : 11629 LOWER AZUSA RD STE H
Second Line :
City : EL MONTE
State : CA
Zip : 91732-1389
Country : US
Telephone Number : 626-672-0224
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JUAN GILBERTO LOZANO
Credential : DDS
Telephone Number : 626-672-0224
Provider Enumeration Date : 06/14/2024
Last Update Date : 06/14/2024

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Directions to “GILBERTO LOZANO, DDS, INC ” Practice Location

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