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Individual

ALBERTO LOPEZ DESCHAMPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 VILLAGE GRN STE 150, LINCOLNSHIRE, IL 60069-3079
(929) 501-4724
Mailing address
2154 S 11TH ST, MILWAUKEE, WI 53215-2708
(929) 501-4724

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.037321
IL

Other

Enumeration date
08/06/2026
Last updated
08/06/2026
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