Organization
SYED SHAHABUDDIN DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYED SHAHABUDDIN DDS (OWNER)
(630) 504-9431
Entity
Organization
Contact information
Practice address
311 N BOLINGBROOK DR, BOLINGBROOK, IL 60440-1968
(630) 914-3505
Mailing address
183 N ADDISON AVE APT 515, ELMHURST, IL 60126-3197
(630) 504-9431
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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