Provider Demographics
NPI:1225294259
Name:LOPEZ, VERONICA FRANCISCA (DMD)
Entity type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:FRANCISCA
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:VERONICA
Other - Middle Name:FRANCISCA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:115 PARK ST SE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180
Mailing Address - Country:US
Mailing Address - Phone:703-268-5550
Mailing Address - Fax:703-268-5409
Practice Address - Street 1:115 PARK ST SE
Practice Address - Street 2:SUITE 201
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180
Practice Address - Country:US
Practice Address - Phone:703-268-5550
Practice Address - Fax:703-268-5409
Is Sole Proprietor?:No
Enumeration Date:2008-07-30
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13633122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist