Organization
DEVAL J SHAH DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVAL SHAH (DDS)
(708) 482-3567
Entity
Organization
Contact information
Practice address
1012 E 31ST ST, LA GRANGE PARK, IL 60526-1217
(708) 482-3567
Mailing address
1012 E 31ST ST, LA GRANGE PARK, IL 60526-1217
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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