# EMMA V. LOPEZ, D.D.S., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lone Star Family Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134275787
- **Authorized official:** DR. EMMA VIRGINIA LOPEZ D.D.S. (OWNER PRESIDENT)
- **Authorized official phone:** (713) 742-0355

## Contact information

- **Practice address:** 5206 IRVINGTON BLVD, STE. A, HOUSTON, TX 77009-1932
- **Practice address phone:** (713) 742-0355
- **Practice address fax:** (713) 742-0357
- **Mailing address:** 5206 IRVINGTON BLVD, STE. A, HOUSTON, TX 77009-1932
- **Mailing address phone:** (713) 742-0355
- **Mailing address fax:** (713) 742-0357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 18695 | TX | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 03/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 009451801 | — | TX |