| NPI | 1649725268 |
|---|---|
| Professional Name | CRISTOPHER RALF TAINA LOPEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IA DDS-09346) |
| Additional Taxonomies | 122300000X Dentist (Licence: VT 016.0123604) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-09-11 |