Provider Demographics
NPI:1851604839
Name:LOBO-MARWAH, ERIN COURTNEY (DDS)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:COURTNEY
Last Name:LOBO-MARWAH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3640 LOMITA BLVD
Mailing Address - Street 2:STE 202
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3927
Mailing Address - Country:US
Mailing Address - Phone:310-373-8941
Mailing Address - Fax:310-373-3545
Practice Address - Street 1:3640 LOMITA BLVD
Practice Address - Street 2:STE 202
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3927
Practice Address - Country:US
Practice Address - Phone:310-373-8941
Practice Address - Fax:310-373-3545
Is Sole Proprietor?:No
Enumeration Date:2010-07-20
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA601851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice