| NPI | 1548771058 |
|---|---|
| Doing Business As | MARIA TERESA LOPEZ D.D.S. |
| Entity Type | Organization |
| Authorized Contact | MARIA TERESA LOPEZ Dentist 664-688-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 668904) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: ZZ AE-01939) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: ZZ 3445365) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-10-24 |