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Organization
TWO RIVERS DENTAL PC
Active
Organization
TWO RIVERS DENTAL PC
Active
Other names
Estrella Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SOHAIL S SHAFI (MANAGER)
(630) 842-3705
Entity
Organization
Contact information
Practice address
247 DUNDEE AVE, ELGIN, IL 60120-4235
(847) 488-1100
(847) 488-1101
Mailing address
1730 PARK ST STE 106, NAPERVILLE, IL 60563-2609
(847) 488-1100
(847) 488-1101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024809
IL
Other
Enumeration date
07/03/2012
Last updated
12/10/2020
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