| NPI | 1245365295 |
|---|---|
| Professional Name | CARLOS A LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 1895) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: PR 1895) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |