Individual provider · Type 1 NPI

Vivian Fernande Lopez, DDS

Pediatric Dentistry · Berkeley, CA

NPI number 1104957075 Active

Practice location

2821 Telegraph Ave
Berkeley, CA 94705-1118

Call (510) 848-4430 Map

Fax (510) 845-3834

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X29355 (CA)

Pediatric Dentistry: 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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About NPI 1104957075

Vivian Fernande Lopez, DDS's National Provider Identifier is 1104957075, issued on Mar 9, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Berkeley, CA. The record was last updated on Jul 9, 2007.