Individual
ROSEMARY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3731
Mailing address
15 MURRAY ST APT 1, ANSONIA, CT 06401-2178
(646) 409-9084
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
009300
CT
124Q00000X
Dental Hygienist
028240
NY
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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