Organization
JUAN GUILLERMO LOPEZ DMD DDS PA
Active
Other names
Calima Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN GUILLERMO LOPEZ DMD, PA (OWNER)
(239) 768-1011
Entity
Organization
Contact information
Practice address
13300 S CLEVELAND AVE STE 46, FORT MYERS, FL 33907-3883
(239) 768-1011
(239) 768-9311
Mailing address
13300 S CLEVELAND AVE STE 46, FORT MYERS, FL 33907-3883
(239) 768-1011
(239) 768-9311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447281720
NPI 1
FL
01
—
DN17696
DENTAL LICENSE
FL
Enumeration date
10/24/2022
Last updated
10/24/2022
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