Organization
A MELISSA VARGAS DMD, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A MELISSA LOPEZ DMD (PRESIDENT)
(773) 758-2010
Entity
Organization
Contact information
Practice address
990 GRAND CANYON PKWY, SUITE 120, HOFFMAN ESTATES, IL 60169-1739
(847) 882-2555
Mailing address
3541 N LOWELL AVE, CHICAGO, IL 60641-3835
(773) 758-2010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019025964
IL
Other
Enumeration date
11/03/2008
Last updated
08/16/2012
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