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Organization

RAQUEL L LOPEZ DDS FAMILY DENTISTRY P.C

Active
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Organization

RAQUEL L LOPEZ DDS FAMILY DENTISTRY P.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAQUEL L LOPEZ D.D.S (OWNER)
(516) 380-1441
Entity
Organization

Contact information

Practice address
1247 SUFFOLK AVE, SUITE #2, BRENTWOOD, NY 11717-4518
(631) 434-7156
Mailing address
47 CILIOTTA LN, PORT JEFFERSON STATION, NY 11776-3435
(516) 380-1441

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049156
NY

Other

Enumeration date
07/26/2008
Last updated
07/26/2008
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