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Dr. Vivian Fernande Lopez, DDS
Pediatric Dentist in Berkeley, California
NPI 1104957075

Vivian Fernande Lopez is a Pediatric Dentist based in Berkeley, CA and is specialized in Pediatric Dentistry. Vivian Fernande Lopez practices in Berkeley, CA and has the professional credentials of DDS. The NPI Number for Vivian Fernande Lopez is 1104957075 and holds a License No. 29355 (California).

The current practice location address for Vivian Fernande Lopez is 2821 Telegraph Ave, Berkeley, CA and can be reached out via phone at 510-848-4430 and via fax at 510-845-3834.

Location: 2821 Telegraph Ave, Berkeley, CA, 94705-1118
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104957075
Provider Name
Vivian Fernande Lopez
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2821 Telegraph Ave, Berkeley, CA, 94705-1118
Phone Number
510-848-4430
Fax Number
510-845-3834
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B29355 05 CA
institution
Provider Business Practice Location Address Details
Address
2821 Telegraph Ave
City
Berkeley
State
California
Zip
94705-1118
Phone Number
510-848-4430
Fax Number
510-845-3834
person
Provider Business Mailing Address Details
Address
2821 Telegraph Ave
City
Berkeley
State
California
Zip
94705-1118
Phone Number
510-848-4430
Fax Number
510-845-3834
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
29355 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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