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Individual

DR. ARTURO J LOPEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
5913 MAIN ST, SUITE 101, OOLTEWAH, TN 37363-7825
(423) 362-7962
(423) 362-7963
Mailing address
5913 MAIN ST, SUITE 101, OOLTEWAH, TN 37363-7825
(423) 362-7962
(423) 362-7963

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
21272
TX
122300000X
Dentist
Primary
9587
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1777238
UNITED CONCORDIA
01
89D482
BLUE CROSS BLUE SHIELD
Enumeration date
10/12/2006
Last updated
08/13/2014
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