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Individual

BRENDA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1601 E GARRISON BLVD STE D, GASTONIA, NC 28054-5153
(704) 866-8281
Mailing address
1601 E GARRISON BLVD STE D, GASTONIA, NC 28054-5153
(704) 866-8281

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10020
NC
1223P0300X
Periodontics
Primary
10020
NC

Other

Enumeration date
06/17/2015
Last updated
04/02/2024
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