Organization · Type 2 NPI
Juan Guillermo Lopez DMD DDS PA
Dental Clinic/Center · Fort Myers, FL
NPI number
1124745740
Active
Practice location
13300 S Cleveland Ave Ste 46
Fort Myers, FL 33907-3883
Fax (239) 768-9311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1124745740
Juan Guillermo Lopez DMD DDS PA's National Provider Identifier is 1124745740, issued on Oct 24, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fort Myers, FL. The record was last updated on Oct 24, 2022.