Samuel Lopez D.M.D.

NPI 1013183193 - Dentist - 122300000X

NPI Details
NPI 1013183193
Gender Male
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
129 GROVE ST
MONTCLAIR NJ, 07042-4049, US
Phone (973) 746-0922
Fax (973) 746-5230
Business Location
129 GROVE ST
MONTCLAIR NJ, 07042-4049, US
Phone (973) 746-0922
Fax (973) 746-5230
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number 18656
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According to our database, Dr. Samuel Lopez D.M.D. NPI is 1013183193, taxonomy code is 122300000X and license number is 18656, license state is located at New Jersey. Samuel Lopez D.M.D. physically located at 129 Grove St, Montclair NJ, 07042-4049. NPI Number Samuel Lopez D.M.D. has the Individual type.

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1013183193 NPI number is provided on an as is basis without warranty of any kind. 1013183193 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Lopez D.M.D. are for informational purposes only.