Individual
MATTHEW LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
579 10TH ST E, PALMETTO, FL 34221-4013
(941) 315-9914
Mailing address
8845 MOONLIT MEADOWS LOOP, RIVERVIEW, FL 33578-8836
(407) 414-9894
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN22842
FL
Other
Enumeration date
07/20/2017
Last updated
08/12/2025
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