| Lopez Family Dental, Llc | |
|
1123 W Wisconsin St Sparta WI 54656-2233 | |
| (608) 269-8400 | |
| Not Available |
| Full Name | Lopez Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1123 W Wisconsin St, Sparta, Wisconsin |
| Authorized Official Name and Position | Steven Lopez (OWNER/MEMBER) |
| Authorized Official Contact | 6082698400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Family Dental, Llc 1123 W Wisconsin St Sparta WI 54656-2233 Ph: () - | Lopez Family Dental, Llc 1123 W Wisconsin St Sparta WI 54656-2233 Ph: (608) 269-8400 |
| NPI Number | 1417033382 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417033382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4770-15 (Wisconsin) | Primary |
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