NPI 1033523642

Marco Lopez

Practitioner General Practice Dentistry Youngstown, OH

Practice location

Address: 500 Gypsy Ln Fl 3, Youngstown, OH 44504-1315
Phone: (330) 884-3058

Registered specialties (2)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 0401415354 (VA)

Other Dentist providers in Ohio →

Dentist

Dental Providers Taxonomy 122300000X Licence 3423 (OH)

Registry record

NPI: 1033523642
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2014
Record last updated: 1 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.