Individual
DR. ADRIANA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2321 BETHARDS DR, SANTA ROSA, CA 95405-8536
(707) 527-9280
Mailing address
PO BOX 1064, WINDSOR, CA 95492-1064
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
102845
CA
1223G0001X
General Practice Dentistry
102845
CA
Other
Enumeration date
08/27/2018
Last updated
08/03/2021
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