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Eustorgio A Lopez Llc
Oral and Maxillofacial Surgery (Dentist) in Pembroke Pines, Florida
NPI 1023362811

Eustorgio A Lopez Llc is a Oral and Maxillofacial Surgery (Dentist) based in Pembroke Pines, FL and is specialized in Oral and Maxillofacial Surgery. Eustorgio A Lopez Llc practices in Pembroke Pines, FL. The NPI Number for Eustorgio A Lopez Llc is 1023362811 and holds a License No. ME74506 (Florida).

The current practice location address for Eustorgio A Lopez Llc is 1548 Nw 208Th Way, Pembroke Pines, FL and can be reached out via phone at 786-375-1449 and via fax at 954-337-0356.

Location: 1548 Nw 208Th Way, Pembroke Pines, FL, 33029-2306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023362811
Provider Name
Eustorgio A Lopez Llc
Credential
Provider Entity Type
Organization
Address
1548 Nw 208Th Way, Pembroke Pines, FL, 33029-2306
Phone Number
786-375-1449
Fax Number
954-337-0356
Provider Enumeration Date
11/01/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1548 Nw 208Th Way
City
Pembroke Pines
State
Florida
Zip
33029-2306
Phone Number
786-375-1449
Fax Number
954-337-0356
person
Provider Business Mailing Address Details
Address
1548 Nw 208Th Way
City
Pembroke Pines
State
Florida
Zip
33029-2306
Phone Number
786-375-1449
Fax Number
954-337-0356
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
ME74506 (Florida)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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