Individual
DR. ANTONIO LOPEZ-IBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3711 PLAZA WAY STE 120, KENNEWICK, WA 99338-2718
(509) 579-0759
(844) 416-0355
Mailing address
509 JORDAN LN, RICHLAND, WA 99352-8537
(509) 833-7663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60487049
WA
Other
Enumeration date
07/02/2014
Last updated
07/21/2022
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