Individual
LESLIE JANET LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
28365 DAVIS PKWY STE 206, WARRENVILLE, IL 60555-3034
(505) 306-9257
Mailing address
401 BAYVIEW AVE, NAPERVILLE, IL 60565-2112
(505) 306-9257
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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