DR. Abel David Lopez-Portillo, DDS

NPI #1578125688 in Mansfield, Texas

Provider Information

NPI Number: 1578125688
Entity Type: Individual
Name: DR. Abel David Lopez-Portillo, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 28, 2019
Last Updated: Jun 28, 2019

Practice Location

Address: 3550 E BROAD ST
City: Mansfield
State: Texas
ZIP Code: 76063-5633
Phone: (682) 400-4137

Specialties & Taxonomy Codes

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

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