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Organization

GEORGINA LOPEZ DENTIST P.C.

Active
Other names
n/a
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGINA M LOPEZ DR (DENTIST)
(718) 672-6656
Entity
Organization

Contact information

Practice address
3757 92 ST, QUEENS, NY 11372-7947
(718) 672-6656
(718) 672-6656
Mailing address
3757 92ND ST, JACKSON HEIGHTS, JACKSON HEIGHTS, NY 11372-7947
(718) 672-6656
(718) 672-6656

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042653
NY

Other

Enumeration date
11/10/2008
Last updated
11/10/2008
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