Individual
DR. AMADEUS SEBASTIAN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7521 VIRGINIA OAKS DR STE 230, GAINESVILLE, VA 20155-3831
(703) 754-7151
Mailing address
11411 SOWARD DR, KENSINGTON, MD 20895-1424
(631) 682-8559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414689
VA
122300000X
Dentist
056808
NY
122300000X
Dentist
15376
MD
Other
Enumeration date
05/02/2012
Last updated
06/23/2021
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