| Santiago Lopez C Dmd Pa | |
|
131 Nw 100th Ave Plantation FL 33324-7034 | |
| (954) 476-4537 | |
| (954) 476-7734 |
| Full Name | Santiago Lopez C Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 131 Nw 100th Ave, Plantation, Florida |
| Authorized Official Name and Position | Santiago Lopez (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9544764537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santiago Lopez C Dmd Pa 131 Nw 100th Ave Plantation FL 33324-7034 Ph: (954) 476-4537 | Santiago Lopez C Dmd Pa 131 Nw 100th Ave Plantation FL 33324-7034 Ph: (954) 476-4537 |
| NPI Number | 1538790217 |
|---|---|
| Provider Enumeration Date | 01/30/2020 |
| Last Update Date | 01/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538790217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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