Individual
DR. LESLIE H LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
129VILLA, SUITE 23, PONCE, PR 00730
(787) 848-6666
(787) 848-6666
Mailing address
129VILLA ST., SUITE 23, PONCE, PR 00730
(787) 848-6666
(787) 848-6666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0339
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40099
TRIPLE S
PR
Enumeration date
12/08/2006
Last updated
07/08/2007
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