Male or Other

Flavio Lopez DMD

Dentist in Roxbury, MA(View on Map)

Full Name

Flavio Lopez DMD

NPI Number

1700135795

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/05/2012

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

DL11468

Contact
Information

Purpose

Mailing
Location

Address

55 DIMOCK ST
55 DIMOCK ST

City

Roxbury
Roxbury

State

MA
MA

Postal Code

02119-1029
02119-1029

Country

US
US

Telephone Number

(617) 442-8800
(617) 442-8800

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/05/2012

Provider Address

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