Search › California › 122300000X
Marysol Realon, DDS
NPI 1831302389 · on the registry since 2007
Practice
- Address
- 259 Louise Ave
Lathrop, CA 95330 - Phone
- (209) 629-8573
- Fax
- (209) 629-5874
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-12-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California