Organization
ACES DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LOPEZ JR. DDS (OWNER)
(423) 562-4766
Entity
Organization
Contact information
Practice address
2257 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2904
(423) 562-4766
Mailing address
2257 JACKSBORO PIKE, LA FOLLETTE, TN 37766-2904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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