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Organization
CITY KIDS DENTAL NORTH SHORE, LLC
Active
Organization
CITY KIDS DENTAL NORTH SHORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A. MELISSA LOPEZ DMD, MPH (CO-OWNER)
(847) 446-0950
Entity
Organization
Contact information
Practice address
585 LINCOLN AVE, SUITE 2, WINNETKA, IL 60093-2351
(847) 446-0950
(847) 446-0985
Mailing address
585 LINCOLN AVE, SUITE 2, WINNETKA, IL 60093-2351
(847) 446-0950
(847) 446-0985
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019025964
IL
Other
Enumeration date
03/05/2009
Last updated
08/16/2012
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