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Organization
SIMPLY DENTAL
Active
Organization
SIMPLY DENTAL
Active
Parent organization
TWO RIVERS DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
TWO RIVERS DENTAL
Authorized official
SOHAIL S SHAFI (MANAGER)
(630) 842-3705
Entity
Organization
Contact information
Practice address
341 E GENEVA RD, CAROL STREAM, IL 60188-2438
(630) 588-0003
(630) 588-0005
Mailing address
1730 PARK ST STE 106, NAPERVILLE, IL 60563-2609
(630) 588-0003
(630) 588-0005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2010
Last updated
12/10/2020
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