Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 31969 | CA |
NPI | 1023288768 |
---|---|
Provider Name | Dr. Maria Lobodzinski |
First Address | Pasadena, CA 91101-2035 |
Second Address | Pasadena, CA 91101-2035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2008 |
Last Update Date | 27/02/2013 |