Organization
EMERY DENTAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FAWAD J SHAH DMD (OWNER)
(847) 228-5557
Entity
Organization
Contact information
Practice address
2380 S ELMHURST RD, MOUNT PROSPECT, IL 60056-5805
(847) 228-5557
(847) 228-6526
Mailing address
2380 S ELMHURST RD, MOUNT PROSPECT, IL 60056-5805
(847) 228-5557
(847) 228-6526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019027741
IL
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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