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Organization
EDUARDO C. LOPEZ, D.D.S., PC
Active
Organization
EDUARDO C. LOPEZ, D.D.S., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO C LOPEZ D.D.S. (PRESIDENT)
(503) 245-1915
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
(503) 245-1915
Mailing address
9370 SW GREENBURG RD STE T, PORTLAND, OR 97223-5408
(503) 245-1915
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D9228
OR
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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