Individual
BIANCA MERCEDES LOPEZ-ISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
225 BRANDON TOWN CENTER DR, BRANDON, FL 33511-4728
(813) 438-8728
Mailing address
3711 W SAN JUAN ST, TAMPA, FL 33629-6923
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN24432
FL
1223G0001X
General Practice Dentistry
Primary
DN24432
FL
Other
Enumeration date
07/17/2019
Last updated
07/04/2025
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