Individual
DR. ANA MELISSA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019-025964
IL
1223P0221X
Pediatric Dentistry
021-002145
IL
1223P0221X
Pediatric Dentistry
Primary
61988
CA
Other
Enumeration date
08/30/2006
Last updated
12/13/2021
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