Individual
DR. GUSTAVO LOPES DE OLIVEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
112 E LUCERNE CIR, ORLANDO, FL 32801-4401
(407) 425-4901
Mailing address
1407 BELMONT DR, ORLANDO, FL 32806-2402
(407) 627-9111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 20483
FL
332B00000X
Durable Medical Equipment & Medical Supplies
DN20483
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2013
Last updated
04/27/2021
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