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Organization
SMILE FIXATION, PC
Active
Organization
SMILE FIXATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERENICE LOPEZ DDS (GENERAL DENTIST)
(708) 484-2480
Entity
Organization
Contact information
Practice address
7039 ROOSEVELT RD, BERWYN, IL 60402-1059
(708) 484-2480
Mailing address
7039 ROOSEVELT RD, BERWYN, IL 60402-1059
(708) 484-2480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
01/08/2014
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