Juan Lopez, DMD

NPI 1861471682 · on the registry since 2006

Practice

Address: 555 Willard Ave
Va Dental Clinic
Newington, CT 06111
Phone: (860) 667-6781
Fax: (860) 667-6827
Organisation at this address: West Haven Vamc
West Haven Vamc
Veterans Administration
Department Of Veteran Affairs
Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 157

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-05-24

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 Connecticut