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1053998054
SANDRA LOPEZ
HACKENSACK, NJ
NPI
1053998054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
SANDRA LOPEZ D.M.D
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 551-996-2000
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Mailing Address
SANDRA LOPEZ D.M.D
180 W MARKET ST APT 724
NEWARK, NJ 07103-2789
Phone number: 860-819-5763
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