Provider Demographics
NPI:1366816274
Name:ARNALDO A. LOPEZ, DDS, PA
Entity Type:Organization
Organization Name:ARNALDO A. LOPEZ, DDS, PA
Other - Org Name:SOMI DENTAL GROUP, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:ANDRE
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:305-239-9273
Mailing Address - Street 1:5966 S DIXIE HWY
Mailing Address - Street 2:SUITE 312
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5170
Mailing Address - Country:US
Mailing Address - Phone:305-239-9273
Mailing Address - Fax:305-239-9274
Practice Address - Street 1:5966 S DIXIE HWY
Practice Address - Street 2:SUITE 312
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5170
Practice Address - Country:US
Practice Address - Phone:305-239-9273
Practice Address - Fax:305-239-9274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20649302R00000X, 305S00000X
FLDN2649305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305S00000XManaged Care OrganizationsPoint of Service