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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