Individual
DR. ABEL DAVID LOPEZ-PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3550 E BROAD ST, MANSFIELD, TX 76063-5633
(682) 400-4137
Mailing address
1119 CROSSWIND DR, MURPHY, TX 75094-4109
(469) 682-7110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35150
TX
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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