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Organization
PROSPERRITTA DENTAL, PLLC
Active
Organization
PROSPERRITTA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIVAM S PATEL DDS (OWNER)
(224) 558-4897
Entity
Organization
Contact information
Practice address
545 S YORK RD STE 200, BENSENVILLE, IL 60106-3000
(630) 766-0115
(630) 766-1164
Mailing address
545 S YORK RD STE 200, BENSENVILLE, IL 60106-3000
(630) 766-0115
(630) 766-1164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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