Organization
LOPP FAMILY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE LOPP DMD (VICE PRESIDENT)
(765) 414-4600
Entity
Organization
Contact information
Practice address
803 S PRAIRIE ST, BROOKSTON, IN 47923-8410
(765) 563-6667
Mailing address
PO BOX 158, BROOKSTON, IN 47923-0158
(765) 563-6667
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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