Abel David Lopez-Portillo, DDS Valid NPI
Individual provider · General Practice Dentistry · Mansfield, TX
- NPI
- 1578125688
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 35150 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-06-28
- Last updated
- 2019-06-28
Practice location
3550 E Broad St
Mansfield, TX 76063-5633
(682) 400-4137