Individual
DR. ERIC DAVID LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6941 W GORE BLVD, LAWTON, OK 73505-5311
(580) 536-9647
Mailing address
6941 W GORE BLVD, LAWTON, OK 73505-5311
(580) 536-9647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7600
OK
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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