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Bryan Lopez Gutierrez, DMD

Dentist in Collinsville, VA. Individual provider (NPI-1).

NPI number1750125852
StatusActive
Last updated in NPPESJun 24, 2024

Details

NPI
1750125852
Entity type
Individual (NPI-1)
Name
Bryan Lopez Gutierrez
Credential
DMD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2024
Certification date
Jun 23, 2024
Last updated
Jun 24, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist0401418961VAYes

Practice location

2845 Virginia Ave
Collinsville, VA 24078-2247

Phone 276-647-1494

Mailing address

349 Laurel Woods Dr
Danville, VA 24540-5205

Phone 706-313-9122

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