Individual
DANIEL JEREMY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
356 W 18TH ST, NEW YORK, NY 10011-4401
(212) 271-7200
Mailing address
356 W 18TH ST, NEW YORK, NY 10011-4401
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
027190
NY
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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