Doctor Name: | DR. MARILYN LOBO |
NPI Number: | 1003008814 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DDS |
License Number: | D7083 |
Business Practice Address: | 13575 W Indian School Rd Ste #1000 Litchfield Park, AZ - 853404901 |
Business Phone Number: | 6239359873 |
Business Fax Number: | 6235366700 |
Mailing Address: | 13575 W Indian School Rd, Ste #1000 LITCHFIELD PARK |
State: | AZ |
Postal Code: | 853404901 |
Phone Number: | 6239359873 |
Fax Number: | 6235366700 |
NPI Enumeration Date: | 08/15/2007 |
NPI Last Update Date: | 08/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | D7083 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy 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. |