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Organization

PLANO FAMILY DENTAL,PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALPANA SHAH D.M.D. (PRESIDENT)
(630) 552-9200
Entity
Organization

Contact information

Practice address
901 W US HIGHWAY 34, SUITE 103, PLANO, IL 60545-2722
(630) 552-9200
Mailing address
901 W US HIGHWAY 34, SUITE 103, PLANO, IL 60545-2722
(630) 552-9200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025713
IL

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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