Individual
MACKENZIE K. LOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
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) 563-3636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012810A
IN
Other
Enumeration date
08/28/2017
Last updated
05/24/2023
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