| NPI | 1326840240 |
|---|---|
| Other Name | MIGUEL A LOPEZ JR |
| Entity Type | Organization |
| Authorized Contact | ISELA CRUZ LOPEZ Office Manager 813-229-7427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-27 |