NPI | 1043722713 |
---|---|
Doing Business As | LUIS A. LOPEZ DDS |
Entity Type | Organization |
Authorized Contact | LUIS A. LOPEZ Dentist 619-488-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 1995321) |
Enumeration Date | 2017-11-02 |
Last Update Date | 2017-11-02 |