Individual
CAROLINA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
17 S WARREN ST, DOVER, NJ 07801-4506
(973) 328-3344
Mailing address
12 HASTINGS RD, MORRIS PLAINS, NJ 07950-3025
(973) 462-9386
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02849000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
08/30/2021
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