Individual
MARIA ESTHER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 PINES BLVD STE 220, PEMBROKE PINES, FL 33026-4104
(954) 432-5515
Mailing address
14411 NW 83RD AVE, MIAMI LAKES, FL 33016-5714
(305) 431-2441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21166
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016679500
—
FL
Enumeration date
02/13/2015
Last updated
08/17/2016
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