Individual
JESUS E LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2637 AVE LAS AMERICAS, PONCE, PR 00717-2106
(787) 259-0136
Mailing address
2637 AVE LAS AMERICAS, PONCE, PR 00717-2106
(787) 259-0136
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2385
PR
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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