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Organization
LOPEZ DENTAL CORPORATION
Active
Organization
LOPEZ DENTAL CORPORATION
Active
Other names
Modesto Smiles Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J LOPEZ DDS (OWNER)
(209) 245-0014
Entity
Organization
Contact information
Practice address
3601 PELANDALE AVE STE D-1, MODESTO, CA 95356-9808
(209) 245-0014
(209) 846-3026
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/04/2022
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