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1215052790
BERENICE LOPEZ
BERWYN, IL
NPI
1215052790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019026165)
Enumeration Date
2007-03-21
Last Update Date
2013-09-30
Business Address
Dr. BERENICE LOPEZ DDS
7039 ROOSEVELT RD
BERWYN, IL 60402-1059
Phone number: 708-484-2480
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Mailing Address
Dr. BERENICE LOPEZ DDS
7039 ROOSEVELT RD
BERWYN, IL 60402-1059
Phone number: 708-484-2480
Copy
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