Individual
KOLE ROBERT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
603 S MAIN ST, PRATT, KS 67124-2630
(620) 672-9922
(620) 672-9966
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61832
KS
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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