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Individual

DR. DHAVAL V SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
441 N WEBER RD, ROMEOVILLE, IL 60446-3972
(815) 372-0100
Mailing address
16551 WILLOW DR, LEMONT, IL 60439-4649
(630) 965-8133

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.029195
IL
1223G0001X
General Practice Dentistry
019.029195
IL

Other

Enumeration date
08/23/2012
Last updated
04/21/2024
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