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Organization
SHIRELAKE GROUP LLC
Active
Organization
SHIRELAKE GROUP LLC
Active
Other names
Lincolnshire Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FATEMEH AFSHAR D.D.S (OWNER CEO)
(847) 478-9640
Entity
Organization
Contact information
Practice address
430 MILWAUKEE AVE, #7, LINCOLNSHIRE, IL 60069-3015
(847) 478-9640
(847) 478-9642
Mailing address
430 MILWAUKEE AVE, #7, LINCOLNSHIRE, IL 60069-3015
(847) 478-9640
(847) 478-9642
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025221
IL
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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