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Marysol B. Realon DDS A Prof. Dental Corp

Dentist in Lathrop, CA · enumerated 2008 · authorized official Marysol Realon, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508023235

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Registry record

Entity type Organization (Type 2)
Legal business name Marysol B. Realon DDS A Prof. Dental Corp
Practice address 259 E. Louise Ave, Lathrop, CA, 95330
Fax (209) 629-8574
Enumeration date May 20, 2008
Last updated in NPPES May 26, 2015

Taxonomy & classification

122300000X Dentist Dental Providers · License 53855 (CA) Primary

Authorized official

Name Marysol Realon
Title Dentist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Marysol B. Realon DDS A Prof. Dental Corp?
Marysol B. Realon DDS A Prof. Dental Corp is registered in NPPES as a Dentist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-26.