Individual
VERONICA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-8355
(270) 798-8400
Mailing address
4110 SPRINGBOURNE WAY APT 100, LOUISVILLE, KY 40241-5176
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-00212
KY
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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