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Organization
EUSTORGIO A LOPEZ LLC
Active
Organization
EUSTORGIO A LOPEZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUSTORGIO A LOPEZ MD, DDS (PRESIDENT)
(786) 375-1449
Entity
Organization
Contact information
Practice address
1548 NW 208TH WAY, PEMBROKE PINES, FL 33029-2306
(786) 375-1449
(954) 337-0356
Mailing address
1548 NW 208TH WAY, PEMBROKE PINES, FL 33029-2306
(786) 375-1449
(954) 337-0356
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
ME74506
FL
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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