Individual
DR. JUAN E LOPEZ-ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
29 CROSSROADS DRIVE, FULTON, NY 13069
(315) 592-2400
(315) 592-2400
Mailing address
29 CROSSROADS DRIVE, FULTON, NY 13069
(315) 592-2400
(315) 592-2400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
052831-1
NY
1223G0001X
General Practice Dentistry
Primary
052831-1
NY
Other
Enumeration date
03/16/2007
Last updated
04/25/2018
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