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Organization
SHACHAT DENTAL GROUP PLLC
Active
Organization
SHACHAT DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW SHACHAT DMD (FOUNDER)
(312) 441-0096
Entity
Organization
Contact information
Practice address
212 W VAN BUREN ST # F6, CHICAGO, IL 60607-3909
(312) 441-0096
(773) 943-7344
Mailing address
212 W VAN BUREN ST # F6, CHICAGO, IL 60607-3909
(312) 441-0096
(773) 943-7344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
Other
Enumeration date
08/07/2023
Last updated
09/06/2024
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