ANGEL LOPEZ
Dentist - Pediatric Dentistry
Active
Individual
NPI: 1790246015
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | No | 30.026059 (OH) |
| Dentist - General Practice | 1223G0001X | No | 30.026059 (OH) |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - Pediatric Dentistry | 1223P0221X | Yes | 10616 (KY) |
Frequently Asked Questions
NPI 1790246015 is the National Provider Identifier for ANGEL LOPEZ, a Dentist - Pediatric Dentistry provider located in Elizabethtown, KY. This NPI was enumerated on March 28, 2019.
ANGEL LOPEZ practices at 151 DREXLER CIR, Elizabethtown, KY 42701.
Quick Facts
- NPI
- 1790246015
- Type
- Individual
- Enumerated
- Mar 28, 2019
- Last Updated
- Jun 8, 2021
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