Individual
DR. BETTI SHAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, DPDS, MSC
Contact information
Practice address
712 E 87TH ST, CHICAGO, IL 60619-6246
(773) 783-9000
Mailing address
6933 N KEDZIE AVE APT 1016, CHICAGO, IL 60645-2728
(773) 381-9637
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031636
IL
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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