| Grace Lopez Dmd Pa | |
|
4144 N Federal Hwy Fort Lauderdale FL 33308-5531 | |
| (954) 646-0558 | |
| Not Available |
| Full Name | Grace Lopez Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4144 N Federal Hwy, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Grace Lopez (PRESIDENT) |
| Authorized Official Contact | 9546460558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Lopez Dmd Pa 4171 Sabal Ridge Cir Weston FL 33331-5037 Ph: () - | Grace Lopez Dmd Pa 4144 N Federal Hwy Fort Lauderdale FL 33308-5531 Ph: (954) 646-0558 |
| NPI Number | 1164945960 |
|---|---|
| Provider Enumeration Date | 07/24/2017 |
| Last Update Date | 07/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164945960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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