Individual
DR. GIANIRA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5270 W BASELINE RD, #130, LAVEEN, AZ 85339-6959
(602) 237-8182
(480) 756-6536
Mailing address
6601 S RURAL RD, TEMPE, AZ 85283-3747
(480) 456-0821
(480) 756-6536
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901018076
MI
122300000X
Dentist
Primary
D7464
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4382600
—
MI
01
—
D802165
BCBS
MI
Enumeration date
11/02/2006
Last updated
06/01/2011
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