Individual
DR. ELENICE MICHELLE LOPEZ DEYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
Mailing address
2211 DUBLIN RD UNIT 131, COLUMBUS, OH 43228-2085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027637
OH
122300000X
Dentist
D14293
MN
Other
Enumeration date
07/19/2019
Last updated
09/18/2024
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