Individual
DR. AUSTIN GILBERTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2040 CENTRAL CT, GREEN BAY, WI 54311-6276
(920) 633-3215
Mailing address
2040 CENTRAL CT, GREEN BAY, WI 54311-6276
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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