Individual
LUIS N LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-2917
Mailing address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-2917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DF11936
MA
1223G0001X
General Practice Dentistry
Primary
DF11599
MA
Other
Enumeration date
01/31/2014
Last updated
08/07/2023
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