Juan Lopez, DDS, DMD

NPI 1447281720 · on the registry since 2006 · sole proprietor

Practice

Address: 5531 N University Dr
Suite 104
Coral Springs, FL 33067
Phone: (954) 227-4892
Fax: (954) 227-4894
Organisation at this address: Activ Therapy Group Llc
Nutrition By Jordana Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1223S0112X
1223S0112X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-11-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida