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Organization
SANDWICH DENTISTRY LLC
Active
Organization
SANDWICH DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROHAN VIKRAM SHAH DDS (PARTNER)
(832) 766-0144
Entity
Organization
Contact information
Practice address
1 E COUNTY LINE RD STE A, SANDWICH, IL 60548-9574
(832) 766-0144
Mailing address
10735 CLOCKTOWER DR, UNIT 303, UNIT 303, COUNTRYSIDE, IL 60525
(832) 766-0144
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
12/07/2024
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