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Organization

ASHTON DENTAL PC

Active
Parent organization
ASHTON DENTAL PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
ASHTON DENTAL PC
Authorized official
SOHAIL S SHAFI (MANAGER)
(630) 842-3705
Entity
Organization

Contact information

Practice address
3752 W 16TH ST, CHICAGO, IL 60623-2028
(773) 828-6400
(773) 828-6401
Mailing address
1730 PARK ST STE 106, NAPERVILLE, IL 60563-2609
(773) 828-6400
(773) 828-6401

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
10/13/2021
Last updated
10/13/2021
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