Lopez, Mario
Lopez, Mario is an sole proprietor health care provider with primary practice located at 10590 Enduring Freedom Dr Us Army Dental Activity, Fort Drum NY 13602-5005. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Lopez, Mario can be contacted via phone (315) 772-6234.Contact Information
Primary practice address
10590 Enduring Freedom Dr Us Army Dental Activity
Fort Drum NY 13602-5005
Phone: (315) 772-6234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Assistant | 126800000X |
Profile Details
| NPI number | 1336598036 |
|---|---|
| LBN Legal business name | Lopez, Mario |
| Credentials | DENTAL ASSISTANT X2 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2016 |
| Last updated | Jun 3rd, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Cox, Linda
10590 Enduring Freedom Dr , Fort Drum NY 13602-5005 -
Glover, James
Us Army Dental Health Activity , Fort Stewart NY 31314 -
Green, Lisa
10590 Enduring Freedom Dr , Fort Drum NY 13602-5005 -
Gutierrez, Nelly
10590 Enduring Freedom Dr , Fort Drum NY 13602-5005 -
Nicholson, Dennis
10590 Enduring Freedom Dr , Fort Drum NY 13602-5005 -
Tankersley, Russell K
8305 Walnut Hill Ln Ste 230, Dallas TX 75231-4260 -
Grisales, Keisa
10590 Enduring Freedom Dr , Fort Drum NY 13602-5005 -
Trinidad, Dwayne
10590 Enduring Freedom Dr , Fort Drum NY 13602-5005