Provider Demographics
NPI:1427254507
Name:MARIA J. LOZADA D.M.D., INC
Entity type:Organization
Organization Name:MARIA J. LOZADA D.M.D., INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-884-8110
Mailing Address - Street 1:22323 SHERMAN WAY
Mailing Address - Street 2:SUITES #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:
Practice Address - Street 1:22323 SHERMAN WAY
Practice Address - Street 2:SUITES #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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty