Organization
SERGIO E LOPEZ, DDS, PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO ENRIQUE LOPEZ DDS (OWNER/PEDIATRIC DENTIST)
(956) 212-3662
Entity
Organization
Contact information
Practice address
1507 SOUTH MCCOLL ROAD, EDINBURG, TX 78541
(956) 212-3662
Mailing address
4217 COLBATH AVE, APT. 330-B, MCALLEN, TX 78503
(956) 212-3662
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
27129
TX
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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