Organization
LOPEZ DENTAL HEALTH GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE L LOPEZ (DDS)
(787) 466-4878
Entity
Organization
Contact information
Practice address
3400 PENROSE PL, BOULDER, CO 80301-1809
(303) 442-5748
Mailing address
3400 PENROSE PL, BOULDER, CO 80301-1809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
202463
CO
Other
Enumeration date
04/12/2015
Last updated
04/12/2015
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