Provider Demographics
NPI:1689117798
Name:HECTOR LOPEZ, D.D.S., P.C.
Entity Type:Organization
Organization Name:HECTOR LOPEZ, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:956-727-3593
Mailing Address - Street 1:4151 JAIME ZAPATA MEMORIAL HWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-4725
Mailing Address - Country:US
Mailing Address - Phone:956-727-3593
Mailing Address - Fax:956-791-3743
Practice Address - Street 1:4151 JAIME ZAPATA MEMORIAL HWY
Practice Address - Street 2:SUITE 210
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-4725
Practice Address - Country:US
Practice Address - Phone:956-727-3593
Practice Address - Fax:956-791-3743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty