Individual
ANTONIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1018 N HIGH ST, MILLVILLE, NJ 08332-2527
(856) 825-9000
(856) 327-0767
Mailing address
1018 N HIGH ST, MILLVILLE, NJ 08332-2527
(856) 825-9000
(856) 327-0767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19011
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
335724
UNITED CONCORDIA
NJ
01
—
60008837
HORIZON NJ HEALTH
NJ
Enumeration date
07/27/2006
Last updated
07/08/2007
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