Individual
MOLLY LOPEZ-CEPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7515 QUAKER AVE, SUITE 100, LUBBOCK, TX 79424-5308
(806) 796-2408
Mailing address
7515 QUAKER AVE, SUITE 100, LUBBOCK, TX 79424-5308
(806) 796-2408
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS0000009814
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2012
Last updated
08/22/2016
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