Individual
DR. SAMUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
129 GROVE ST, MONTCLAIR, NJ 07042-4049
(973) 746-0922
(973) 746-5230
Mailing address
129 GROVE ST, MONTCLAIR, NJ 07042-4049
(973) 746-0922
(973) 746-5230
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18656
NJ
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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