Eustorgio A Lopez Llc | |
1548 Nw 208th Way Pembroke Pines FL 33029-2306 | |
(786) 375-1449 | |
(954) 337-0356 |
Full Name | Eustorgio A Lopez Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1548 Nw 208th Way, Pembroke Pines, Florida |
Authorized Official Name and Position | Eustorgio A Lopez (PRESIDENT) |
Authorized Official Contact | 7863751449 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Eustorgio A Lopez Llc 1548 Nw 208th Way Pembroke Pines FL 33029-2306 Ph: (786) 375-1449 | Eustorgio A Lopez Llc 1548 Nw 208th Way Pembroke Pines FL 33029-2306 Ph: (786) 375-1449 |
NPI Number | 1023362811 |
---|---|
Provider Enumeration Date | 11/01/2012 |
Last Update Date | 11/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023362811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | ME74506 (Florida) | Primary |
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