Organization
NORTHWEST DENTIQ CENTER P.C.
Active
Other names
Pingree Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KALPIT SHAH DDS (DENTIST)
(847) 462-4330
Entity
Organization
Contact information
Practice address
2401 W. RT 20, STE 103, PINGREE GROVE, IL 60140
(847) 462-4330
Mailing address
2401 W. RT 20, STE 103, PINGREE GROVE, IL 60140
(847) 462-4330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019028407
IL
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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