Individual
DR. BERENICE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
321 N LA GRANGE RD, LA GRANGE PARK, IL 60526-5622
(708) 745-5277
Mailing address
5220 EAST AVE, COUNTRYSIDE, IL 60525-3133
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026165
IL
Other
Enumeration date
03/21/2007
Last updated
06/04/2025
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