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Organization
GILBERTO LOPEZ DDS INC
Active
Organization
GILBERTO LOPEZ DDS INC
Active
Other names
New Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO LOPEZ (DDS)
(479) 434-4277
Entity
Organization
Contact information
Practice address
1021 S 21ST ST, FORT SMITH, AR 72901-4007
(479) 434-4277
(479) 434-4279
Mailing address
1021 S 21ST ST, FORT SMITH, AR 72901-4007
(479) 434-4277
(479) 434-4279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3501
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167913631
—
AR
Enumeration date
06/30/2008
Last updated
06/30/2008
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