Organization
J BROGAN LOPEZ DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BROGAN LOPEZ DDS (OWNER/DENTIST)
(901) 828-9261
Entity
Organization
Contact information
Practice address
2414 S 58TH ST, FORT SMITH, AR 72903-3827
(479) 452-3368
Mailing address
1112 AUTUMN OAKS LN, FORT SMITH, AR 72903-2218
(901) 828-9261
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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