Individual
YARISSA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10246 KINGS HWY, KING GEORGE, VA 22485-3429
(540) 625-2007
Mailing address
1429 BUCKNER ST, FREDERICKSBURG, VA 22401-5408
(305) 978-6759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413008
VA
Other
Enumeration date
04/14/2008
Last updated
04/30/2013
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