Organization
LOPEZ FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LOPEZ DDS (OWNER/MEMBER)
(608) 269-8400
Entity
Organization
Contact information
Practice address
1123 W WISCONSIN ST, SPARTA, WI 54656-2233
(608) 269-8400
Mailing address
1123 W WISCONSIN ST, SPARTA, WI 54656-2233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4770-15
WI
Other
Enumeration date
10/31/2006
Last updated
08/22/2020
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