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Organization
WH IL DENTAL PLLC
Active
Organization
WH IL DENTAL PLLC
Active
Other names
Walmart Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHEFALI SHAH (OWNER)
(479) 258-2080
Entity
Organization
Contact information
Practice address
1715 N. KILPATRICK AVE, CHICAGO, IL 60639
(773) 687-6045
(773) 276-7570
Mailing address
702 SW 8TH ST # MS 0445, BENTONVILLE, AR 72716-0445
(479) 277-2500
(479) 277-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
08/22/2023
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