Organization
GRACE LOPEZ DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE LOPEZ DMD (PRESIDENT)
(954) 646-0558
Entity
Organization
Contact information
Practice address
4144 N FEDERAL HWY, FORT LAUDERDALE, FL 33308-5531
(954) 646-0558
Mailing address
4171 SABAL RIDGE CIR, WESTON, FL 33331-5037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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