Individual
CONSTANZA LOPEZ LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8267 LITTLE RD, NEW PORT RICHEY, FL 34654-5407
(727) 807-9145
Mailing address
8267 LITTLE RD, NEW PORT RICHEY, FL 34654-5407
(727) 807-9145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
51049
NC
122300000X
Dentist
Primary
DN21927
FL
Other
Enumeration date
07/06/2015
Last updated
08/29/2016
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