DIANA LOPEZ

BLOOMINGTON, IL
NPI1821739749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: IL  021003464)
Additional Taxonomies122300000X Dentist
(Licence: IL  019036011)
Enumeration Date2022-04-05
Last Update Date2025-08-14
Business Address
DIANA LOPEZ
2111 E OAKLAND AVE STE D
BLOOMINGTON, IL 61701-5783
Phone number: 309-663-6564
Mailing Address
DIANA LOPEZ
2111 E OAKLAND AVE STE D
BLOOMINGTON, IL 61701-5783
Phone number: 309-663-6564