| Lopez Dental Health Group Pc | |
|
3400 Penrose Pl Boulder CO 80301-1809 | |
| (303) 442-5748 | |
| Not Available |
| Full Name | Lopez Dental Health Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 3400 Penrose Pl, Boulder, Colorado |
| Authorized Official Name and Position | Jose L Lopez (DDS) |
| Authorized Official Contact | 7874664878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Dental Health Group Pc 3400 Penrose Pl Boulder CO 80301-1809 Ph: () - | Lopez Dental Health Group Pc 3400 Penrose Pl Boulder CO 80301-1809 Ph: (303) 442-5748 |
| NPI Number | 1043606510 |
|---|---|
| Provider Enumeration Date | 04/12/2015 |
| Last Update Date | 04/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043606510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 202463 (Colorado) | Primary |
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