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DR. STEPHANIE LOPEZ D.M.D., M.S.

Periodontics >> Dentist >> Dental Providers

Registrant NPI Number: 1528493640

Individual Registrant:
DR. STEPHANIE  LOPEZ D.M.D., M.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
7875 SW 104TH ST STE 104  KENDALL, FL 33156-2642 US
Tel: 305-271-9202  Fax: --

Contact information for business:
3610 SOLANA RD  COCONUT GROVE, FL 33133-6143 US
Tel: 305-498-3637  Fax: --

Registration Information:
NPI: 1528493640
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0300XDental Providers
Dentist
Periodontics
FLDN20394

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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