Individual
DR. STEPHANIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
7875 SW 104TH ST STE 104, KENDALL, FL 33156-2642
(305) 271-9202
Mailing address
3610 SOLANA RD, COCONUT GROVE, FL 33133-6143
(305) 498-3637
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN20394
FL
Other
Enumeration date
09/09/2013
Last updated
04/19/2018
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