Individual
JOHN M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1920 S STAPLEY DR STE 105, MESA, AZ 85204-6678
(480) 545-5300
Mailing address
1920 S STAPLEY DR STE 105, MESA, AZ 85204-6678
(480) 545-5300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010134
AZ
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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