Individual
DR. GRACE PATRICIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4171 SABAL RIDGE CIR, WESTON, FL 33331-5037
(954) 646-0558
Mailing address
4171 SABAL RIDGE CIR, WESTON, FL 33331-5037
(954) 646-0558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19810
FL
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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