Randy Lopez Valid NPI

Individual provider · Dentist · Punta Gorda, FL

NPI

1114755816

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN29428 (FL)

Sex

Male

Sole proprietor

Yes

Enumerated

2024-07-24

Last updated

2025-09-08