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 is a Dentist 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
Phone: (209) 629-8573
Fax: (209) 629-8574
Show map & directions

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