| Raquel L Lopez Dds Family Dentistry P.c | |
|
1247 Suffolk Ave Suite #2 Brentwood NY 11717-4518 | |
| (631) 434-7156 | |
| Not Available |
| Full Name | Raquel L Lopez Dds Family Dentistry P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1247 Suffolk Ave, Brentwood, New York |
| Authorized Official Name and Position | Raquel L Lopez (OWNER) |
| Authorized Official Contact | 5163801441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raquel L Lopez Dds Family Dentistry P.c 47 Ciliotta Ln Port Jefferson Station NY 11776-3435 Ph: (516) 380-1441 | Raquel L Lopez Dds Family Dentistry P.c 1247 Suffolk Ave Suite #2 Brentwood NY 11717-4518 Ph: (631) 434-7156 |
| NPI Number | 1316102585 |
|---|---|
| Provider Enumeration Date | 07/26/2008 |
| Last Update Date | 07/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316102585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 049156 (New York) | Primary |
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