Individual
EDUARDO DOMINGO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4326 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2707
(757) 969-1356
Mailing address
4326 GEORGE WASHINGTON MEM HWY, YORKTOWN, VA 23692-2707
(757) 969-1356
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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