Juan Guillermo Lopez Dmd DDS PA
NPI #1124745740 in Fort Myers, Florida
Provider Information
- NPI Number
- 1124745740
- Entity Type
- Organization
- Organization Name
- Juan Guillermo Lopez Dmd DDS PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 24, 2022
- Last Updated
- Oct 24, 2022
Practice Location
- Address
- 13300 S CLEVELAND AVE STE 46
- City
- Fort Myers
- State
- Florida
- ZIP Code
- 33907-3883
- Phone
- (239) 768-1011
Authorized Official
- Name
- DR. JUAN GUILLERMO LOPEZ, DMD, PA
- Title
- OWNER
- Phone
- (239) 768-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Clinic/Center - Dental — Dental |
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