Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marysol B. Realon DDS a Prof Dental Corp

Organization Dentist · NPI 1508023235

Marysol B. Realon DDS a Prof Dental Corp provides Dentist services in Lathrop, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

259 E Louise Ave
Lathrop, CA 95330 Not confirmed with CMS for 11 years — call before visiting
Phone: (209) 629-8573
Fax: (209) 629-8574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 53855 (CA)

Record details

NPI number1508023235
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marysol Realon — Dentist · (209) 629-8573
NPI enumeratedMay 20, 2008
Last updated in NPPESMay 26, 2015
Mailing address259 E. Louise Ave, Lathrop, CA 95330

Other providers in Lathrop