Organization
SHAIVALKUMAR PATEL DDS P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAIVALKUMAR PATEL (PRESIDENT)
(805) 341-4472
Entity
Organization
Contact information
Practice address
9052 W GOLF RD, NILES, IL 60714-5805
(847) 297-4815
Mailing address
1535 SOUTHGATE RD, BARTLETT, IL 60103-2061
(805) 341-4472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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