EUSTORGIO A LOPEZ LLC NPI 1023362811

NPI Information

EUSTORGIO A LOPEZ LLC is an oral and maxillofacial surgery dentist in Pembroke Pines, FL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. EUSTORGIO A LOPEZ LLC NPI is 1023362811. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1548 NW 208TH WAY
PEMBROKE PINES, FL
ZIP 33029-306
Phone: (786) 375-1449
Fax: (954) 337-0356

The provider's authorized official is Eustorgio A Lopez .
The authorized official title is President and has the following contact phone number (786) 375-1449.

The enumeration date for this NPI number is 11/1/2012 and was last updated on 11/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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