Provider Demographics
NPI:1215995774
Name:LOPEZ, CLAUDIA ZORAIDA (DDS)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ZORAIDA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8108 NW WESTSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERBY LAKE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-1548
Mailing Address - Country:US
Mailing Address - Phone:816-726-6158
Mailing Address - Fax:
Practice Address - Street 1:11401 NALL AVE
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1893
Practice Address - Country:US
Practice Address - Phone:913-649-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0159351223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry