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Individual

DR. OBAID SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5160 S PULASKI RD STE 102, CHICAGO, IL 60632-4253
(773) 423-2810
Mailing address
345 N MASTERS DR, ADDISON, IL 60101-4117

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.031828
IL
1223G0001X
General Practice Dentistry
30.026328
OH

Other

Enumeration date
05/31/2017
Last updated
04/30/2026
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