Individual
SANDRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
220 PASSAIC ST, PASSAIC, NJ 07055-6460
(201) 210-0200
Mailing address
180 W MARKET ST APT 724, NEWARK, NJ 07103-2789
(860) 819-5763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02870300
NJ
Other
Enumeration date
03/25/2021
Last updated
12/28/2025
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