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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