Individual
RAYMOND LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4601 DOUGLAS RD, TOLEDO, OH 43613-3358
(419) 475-1956
(419) 475-1979
Mailing address
4601 DOUGLAS RD, TOLEDO, OH 43613-3358
(419) 475-1956
(419) 475-1979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20153
OH
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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