Individual
PETER LOPATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 MALL DR W, NEWPORT CENTRE DENTAL, JERSEY CITY, NJ 07310-1615
(201) 626-2500
Mailing address
12875 ELMFORD LN, BOCA RATON, FL 33428-4718
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11673
CT
122300000X
Dentist
Primary
22DI02648000
NJ
122300000X
Dentist
DN22172
FL
Other
Enumeration date
08/06/2016
Last updated
12/11/2016
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