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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