Individual
DR. MIGUEL ANGEL GARCIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1670 BEAM AVE STE 204, MAPLEWOOD, MN 55109-1227
(651) 925-8400
Mailing address
150 26TH AVE SE UNIT 512, MINNEAPOLIS, MN 55414-4329
(763) 300-1741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15075
MN
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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