Marco Lopez

NPI #1033523642 in Youngstown, Ohio

Provider Information

NPI Number: 1033523642
Entity Type: Individual
Name: Marco Lopez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 12, 2014
Last Updated: Oct 1, 2016

Practice Location

Address: 500 GYPSY LN FL 3
City: Youngstown
State: Ohio
ZIP Code: 44504-1315
Phone: (330) 884-3058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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