Individual
JOHN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 LANCASTER DR NE, SALEM, OR 97305-1223
(503) 370-4311
Mailing address
3883 GALLOWAY ST S, SALEM, OR 97302-6805
(503) 363-0129
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7621
OR
Other
Enumeration date
08/05/2019
Last updated
12/20/2021
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