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Organization

AIDA M LOPEZ DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AIDA MARINA LOPEZ DDS (PRESIDENT)
(305) 893-1830
Entity
Organization

Contact information

Practice address
12550 BISCAYNE BLVD, SUITE 308, NORTH MIAMI, FL 33181
(305) 893-1830
(305) 893-0395
Mailing address
12550 BISCAYNE BLVD, SUITE 308, NORTH MIAMI, FL 33181
(305) 893-1830
(305) 893-0395

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14609
FL

Other

Enumeration date
09/25/2006
Last updated
07/07/2014
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