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Organization
NW DENTIQ CENTER P.C
Active
Organization
NW DENTIQ CENTER P.C
Active
Other names
Round Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALPIT SHAH DDS (PRESIDENT)
(847) 740-0217
Entity
Organization
Contact information
Practice address
425 N.WILSON ROAD, ROUND LAKE, IL 60073
(847) 740-0217
Mailing address
425 N.WILSON ROAD, ROUND LAKE, IL 60073
(847) 740-0217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019028407
IL
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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