Organization
LIBERTY DENTAL OF MAPLEBROOK, LTD.
Active
Other names
Maplebrook Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEHBAZ SHAREEF D.M.D (PRESIDENT)
(331) 588-1716
Entity
Organization
Contact information
Practice address
363 E BAILEY RD, NAPERVILLE, IL 60565-1415
(331) 588-1716
Mailing address
363 E BAILEY RD, NAPERVILLE, IL 60565-1415
(331) 588-1716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028816
IL
1223G0001X
General Practice Dentistry
019.028852
IL
Other
Enumeration date
11/24/2013
Last updated
11/24/2013
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