Raquel L Lopez Dds Family Dentistry P.c | |
1247 Suffolk Ave Suite #2 Brentwood NY 11717-4518 | |
(631) 434-7156 | |
Not Available |
Full Name | Raquel L Lopez Dds Family Dentistry P.c |
---|---|
Speciality | Dentist - General Practice |
Location | 1247 Suffolk Ave, Brentwood, New York |
Authorized Official Name and Position | Raquel L Lopez (OWNER) |
Authorized Official Contact | 5163801441 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Raquel L Lopez Dds Family Dentistry P.c 47 Ciliotta Ln Port Jefferson Station NY 11776-3435 Ph: (516) 380-1441 | Raquel L Lopez Dds Family Dentistry P.c 1247 Suffolk Ave Suite #2 Brentwood NY 11717-4518 Ph: (631) 434-7156 |
NPI Number | 1316102585 |
---|---|
Provider Enumeration Date | 07/26/2008 |
Last Update Date | 07/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316102585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 049156 (New York) | Primary |
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