Jacqueline Lopez Mendoza, D.D.S.

NPI #1598171506 in Grant, Michigan

Provider Information

NPI Number: 1598171506
Entity Type: Individual
Name: Jacqueline Lopez Mendoza, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 10, 2014
Last Updated: Jul 11, 2014

Practice Location

Address: 11 N MAPLE ST
City: Grant
State: Michigan
ZIP Code: 49327-7900
Phone: (231) 834-9750

Specialties & Taxonomy Codes

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

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