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Contact Information

INEZ M LOPEZ, DMD
903 C NORTH 5TH STREET
ESTANCIA, NM87016-0807
 Phone: 505-384-2777
 Fax: 505-384-2204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for INEZ M LOPEZ · (Female)

NPI # 1245343748
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 08/17/2006
Last updated 06/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NM License # DD2624
  • NM Medicaid 66726557
  • NM Other DD2624 DELTA DENTAL
  • NM Other 9179209 DORAL DENTAL
  • NM Other 850206810 TRICARE
  • NM Other 1766494 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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