Organization
EMAN SHIRAZI DDS PC
Active
Other names
Watertower Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAN A SHIRAZI DDS (OWNER)
(847) 854-2970
Entity
Organization
Contact information
Practice address
2250 WEST ALGONQUIN ROAD, STE 101, LAKE IN THE HILLS, IL 60156
(847) 854-2970
(847) 854-3171
Mailing address
2250 WEST ALGONQUIN ROAD, STE 101, LAKE IN THE HILLS, IL 60156
(847) 854-2970
(847) 854-3171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19025647
IL
Other
Enumeration date
10/04/2006
Last updated
11/09/2009
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