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Individual

KENIA DE LA C LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1300 N FEDERAL HWY, SUITE 1, LAKE WORTH, FL 33460
(561) 540-1040
(561) 540-5235
Mailing address
1300 N FEDERAL HWY, SUITE 1, LAKE WORTH, FL 33460
(561) 540-1040
(561) 540-5235

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17092
FL

Other

Enumeration date
09/02/2009
Last updated
09/02/2009
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