DIANA LOPEZ

BOSTON, MA
NPI1821739749
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MA  DN1859349)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-05
Last Update Date2022-06-05
Business Address
DIANA LOPEZ
188 LONGWOOD AVE
BOSTON, MA 02115-5888
Phone number: 617-432-1434
Mailing Address
DIANA LOPEZ
188 LONGWOOD AVE
BOSTON, MA 02115-5888
Phone number: 617-432-1434