Individual
JAMES BROGAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2414 S 58TH ST, FORT SMITH, AR 72903-3827
(479) 452-3368
Mailing address
2414 S 58TH ST, FORT SMITH, AR 72903-3827
(901) 828-9261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4357
AR
Other
Enumeration date
06/24/2019
Last updated
12/20/2023
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