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Organization
VIENTO DENTAL
Active
Organization
VIENTO DENTAL
Active
Other names
Viento Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW ALEX LUPSAN DDS (OWNER/GENERAL DENTIST)
(734) 748-8742
Entity
Organization
Contact information
Practice address
1461 S BLUE ISLAND AVE, CHICAGO, IL 60608-2282
(734) 748-8742
Mailing address
1461 S BLUE ISLAND AVE, CHICAGO, IL 60608-2282
(734) 748-8742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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