Organization
SUSANA LOPEZ DDS PLLC
Active
Other names
Sparkle Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANA LOPEZ DDS (ORTHODONTIST)
(571) 314-4655
Entity
Organization
Contact information
Practice address
3223 DUKE ST STE H, ALEXANDRIA, VA 22314-4555
(703) 646-0362
Mailing address
6607 CAVALIER DR, ALEXANDRIA, VA 22307-1308
(571) 314-4655
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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