Individual provider · Type 1 NPI

William Lopez, DMD

Student in an Organized Health Care Education/Training Program · Augusta, GA

NPI number 1407387590 Active

Practice location

1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001

Mailing address

543 Martin Ln
Augusta, GA 30909-3458

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407387590

William Lopez, DMD's National Provider Identifier is 1407387590, issued on Mar 21, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, GA. The record was last updated on Mar 21, 2017.