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1457489734
MANUEL LOPEZ
GRANGER, IN
NPI
1457489734
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: IN 12009573)
Enumeration Date
2007-03-01
Last Update Date
2007-07-08
Business Address
Dr. MANUEL LOPEZ DDS
51410 BITTERSWEET RD
GRANGER, IN 46530-9119
Phone number: 574-277-7995
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Mailing Address
Dr. MANUEL LOPEZ DDS
51410 BITTERSWEET RD
GRANGER, IN 46530-9119
Phone number: 574-277-7995
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