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Individual
EDUARDO DOMINGO LOPEZ
Active
Individual
EDUARDO DOMINGO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417237
VA
1223G0001X
General Practice Dentistry
0401417237
VA
Other
Enumeration date
05/13/2021
Last updated
07/31/2023
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