Diana Lopez
NPI #1821739749 in Bloomington, Illinois
Provider Information
- NPI Number
- 1821739749
- Entity Type
- Individual
- Name
- Diana Lopez
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Prosthodontics
- Enumeration Date
- Apr 5, 2022
- Last Updated
- Aug 14, 2025
Practice Location
- Address
- 2111 E OAKLAND AVE STE D
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-5783
- Phone
- (309) 663-6564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - Prosthodontics — Prosthodontics |
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