Individual
DIANA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5005 N PIEDRAS ST, EL PASO, TX 79920-5002
(915) 742-0086
Mailing address
US DENTAL HEALTH ACTIVITY, 5005 N. PIEDRAS ATTN: DENTAC, EL PASO, TX 79920-5001
(915) 742-0086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29348
TX
1223G0001X
General Practice Dentistry
29348
TX
Other
Enumeration date
07/02/2014
Last updated
07/21/2022
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