Provider Demographics
NPI:1700993045
Name:LOPEZ, JOSE FRANCISCO (DDS MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:FRANCISCO
Last Name:LOPEZ
Suffix:
Gender:M
Credentials:DDS MD
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Mailing Address - Street 1:1770 ST JAMES PLACE
Mailing Address - Street 2:SUITE 512
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056
Mailing Address - Country:US
Mailing Address - Phone:713-622-8607
Mailing Address - Fax:713-622-9207
Practice Address - Street 1:1770 ST JAMES PLACE
Practice Address - Street 2:SUITE 512
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056
Practice Address - Country:US
Practice Address - Phone:713-622-8607
Practice Address - Fax:713-622-9207
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX198571223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery