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NPI Code Detail

MEDICARE: ANDREA LOPEZ-TORRES SILVA DMD

MEDICARE: ANDREA LOPEZ-TORRES SILVA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics2901601077MI

General Provider Information

NPI Number : 1629517370
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA LOPEZ-TORRES SILVA DMD
Provider Business Mailing Address
First Line : 1021 S WASHINGTON AVE APT B
Second Line :
City : ROYAL OAK
State : MI
Zip : 48067-3876
Country : US
Telephone Number : 939-717-8710
Fax Number :
Provider Business Practice Location Address
First Line : 19925 E 10 MILE RD
Second Line :
City : SAINT CLAIR SHORES
State : MI
Zip : 48080-1069
Country : US
Telephone Number : 867-721-8805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2017
Last Update Date : 07/13/2021

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Directions to “ ANDREA LOPEZ-TORRES SILVA DMD” Practice Location

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