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1720218167
MICHAEL DOUGLAS LOPEZ
LA FOLLETTE, TN
NPI
1720218167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TN 9047)
Enumeration Date
2009-07-20
Last Update Date
2009-07-20
Business Address
Dr. MICHAEL DOUGLAS LOPEZ D.D.S.
2257 JACKSBORO PIKE
LA FOLLETTE, TN 37766-2904
Phone number: 423-562-4766
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Mailing Address
Dr. MICHAEL DOUGLAS LOPEZ D.D.S.
2257 JACKSBORO PIKE
LA FOLLETTE, TN 37766-2904
Phone number:
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