Organization
PALOS ORTHODONTICS
Active
Organization
PALOS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYUR SHAH (ORTHODONTIST)
(708) 945-1455
Entity
Organization
Contact information
Practice address
10781 S ROBERTS RD, PALOS HILLS, IL 60465-2313
(708) 974-1155
(708) 974-2966
Mailing address
10781 S ROBERTS RD, PALOS HILLS, IL 60465-2313
(708) 974-1155
(708) 974-2966
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002232
IL
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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