Individual
DR. MATTHEW D LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4322 RAVENSWORTH RD, ANNANDALE, VA 22003-5630
(703) 256-5870
Mailing address
4322 RAVENSWORTH RD, ANNANDALE, VA 22003-5630
(703) 256-5870
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418253
VA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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