Individual
ERICA MARIE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1641 ROUTE 112 STE B, MEDFORD, NY 11763-3663
(631) 758-3700
Mailing address
239 DARE RD, SELDEN, NY 11784-1411
(631) 707-1689
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
032550
NY
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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