DR. Amadeus Sebastian Lopez, D.D.S.

NPI #1700144318 in Gainesville, Virginia

Provider Information

NPI Number: 1700144318
Entity Type: Individual
Name: DR. Amadeus Sebastian Lopez, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 2, 2012
Last Updated: Jun 23, 2021

Practice Location

Address: 7521 VIRGINIA OAKS DR STE 230
City: Gainesville
State: Virginia
ZIP Code: 20155-3831
Phone: (703) 754-7151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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