Organization
GILBERTO LOPEZ DDS INC
Active
Other names
New Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERTO LOPEZ (DDS)
(479) 434-4277
Entity
Organization
Contact information
Practice address
1021 S 21ST ST, FORT SMITH, AR 72901-4007
(479) 434-4277
(479) 434-4279
Mailing address
1021 S 21ST ST, FORT SMITH, AR 72901-4007
(479) 434-4277
(479) 434-4279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3501
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
167913631
—
AR
Enumeration date
06/30/2008
Last updated
06/30/2008
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