MARYSOL B. REALON DDS A PROF. DENTAL CORP
NPI 1508023235
Dentist in Lathrop, CA

Active since May 20, 2008
259 E. LOUISE AVE, LATHROP, CA 95330(209) 629-8573(209) 629-8574 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marysol B. Realon Dds A Prof. Dental Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYSOL B. REALON DDS A PROF. DENTAL CORP (NPI 1508023235) is a healthcare organization registered as a dentist in Lathrop, California and active in the NPI registry since May 2008. The organization lists Marysol B. Realon, Dentist, as its authorized official.

NPPES Registry Identity

NPI1508023235
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMARYSOL B. REALON DDS A PROF. DENTAL CORP
Location Address259 E. LOUISE AVELathrop, CA 95330
Mailing Address259 E. Louise AveLathrop, CA 95330 · (209) 629-8573 · Fax (209) 629-8574
Fax(209) 629-8574
Organization SubpartNo
Authorized OfficialMarysol B. RealonDentist · (209) 629-8573
Enumeration DateMay 20, 2008
Last NPPES UpdateMay 26, 2015
NPI 1508023235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 53855
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
259 E. LOUISE AVE, Lathrop, CA 95330

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marysol B. Realon Dds A Prof. Dental Corp's NPI number?

The NPI number for Marysol B. Realon Dds A Prof. Dental Corp is 1508023235. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Marysol B. Realon Dds A Prof. Dental Corp located?

Marysol B. Realon Dds A Prof. Dental Corp is located at 259 E. Louise Ave, Lathrop, CA 95330. The listed phone number is (209) 629-8573.

What is Marysol B. Realon Dds A Prof. Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Marysol B. Realon Dds A Prof. Dental Corp was last updated on May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.