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NPI Code Detail

MEDICARE: DR. RAMON DURAN LOPEZ DMD

MEDICARE: DR. RAMON DURAN LOPEZ DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist0401418879VA

General Provider Information

NPI Number : 1669211678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAMON DURAN LOPEZ DMD
Provider Business Mailing Address
First Line : 10 SAWYER DR
Second Line :
City : SALEM
State : VA
Zip : 24153-6810
Country : US
Telephone Number : 703-717-2469
Fax Number :
Provider Business Practice Location Address
First Line : 230 MARKET ST
Second Line :
City : NEW CASTLE
State : VA
Zip : 24127-6080
Country : US
Telephone Number : 540-864-5556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 05/20/2024

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