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Organization
ROXANA LOPEZ, DDS,PA
Active
Organization
ROXANA LOPEZ, DDS,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROXANA LOPEZ DDS (DENTIST)
(956) 566-8233
Entity
Organization
Contact information
Practice address
4406 SIERRA DR, PALMHURST, TX 78573-0409
(956) 566-8233
Mailing address
2512 N. CONWAY DRIVE, MISSION, TX 78572-0409
(956) 483-0499
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649315672
—
TX
Enumeration date
10/29/2007
Last updated
11/28/2007
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