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MATTHEW LUPSAN

General Practice Dentistry

NPI: 1619692811Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Dentist — General Practice

Code: 1223G0001X

019.034201(IL)

Contact & Hours

Address
6560 W FULLERTON AVE UNIT C106
CHICAGO, IL 60707

Quick Facts

NPI
1619692811
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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