Organization
JASHAVANTI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARSHIL PATEL DMD (OWNER)
(224) 642-4040
Entity
Organization
Contact information
Practice address
104 TYLER CREEK PLZ, ELGIN, IL 60123-1784
(224) 642-4040
Mailing address
104 TYLER CREEK PLZ, ELGIN, IL 60123-1784
(224) 642-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019031282
DENTAL LICENSE
IL
Enumeration date
01/23/2024
Last updated
01/23/2024
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