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Individual

DR. LEILA SHAHBANDAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
6335 JOLIET RD, 200, COUNTRYSIDE, IL 60525-7427
(708) 352-1830
Mailing address
6335 JOLIET RD STE 200, COUNTRYSIDE, IL 60525-3986
(312) 498-2937

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.028019
IL

Other

Enumeration date
07/20/2009
Last updated
08/20/2015
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