# A MELISSA VARGAS DMD, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508033291
- **Authorized official:** DR. A MELISSA LOPEZ DMD (PRESIDENT)
- **Authorized official phone:** (773) 758-2010

## Contact information

- **Practice address:** 2222 W DIVISION ST, SUITE 130, CHICAGO, IL 60622-2717
- **Practice address phone:** (773) 772-7373
- **Mailing address:** 3541 N LOWELL AVE, CHICAGO, IL 60641-3835
- **Mailing address phone:** (773) 758-2010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019025964 | IL | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 08/16/2012
