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Organization
MICHAEL LOPEZ DENTAL CORPORATION
Active
Organization
MICHAEL LOPEZ DENTAL CORPORATION
Active
Other names
Modesto Modern Dentistry Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
MICAHEL LOPEZ DDS (OWNER DOCTOR)
(209) 435-9550
Entity
Organization
Contact information
Practice address
2103 MCHENRY AVENUE, SUITE C, MODESTO, CA 95350
(209) 435-9550
(209) 390-1563
Mailing address
17000 RED HILL AVENUE, IRVINE, CA 92614
(714) 845-8656
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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