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Individual

GLORIANA M LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
2855 OVERSEAS HWY, MARATHON, FL 33050-2239
(305) 743-4000
Mailing address
224 29TH STREET OCEAN, MARATHON, FL 33050-2218
(512) 970-4919

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
17431
TX
1223G0001X
General Practice Dentistry
DN009754
GA
1223G0001X
General Practice Dentistry
Primary
DN9664
FL

Other

Enumeration date
11/30/2006
Last updated
12/08/2010
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