Organization
LEAD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILPA MAILAPUR DMD, MSD (MEMBER)
(630) 270-8327
Entity
Organization
Contact information
Practice address
18W333 ROOSEVELT RD STE C, LOMBARD, IL 60148-4180
(630) 832-1500
Mailing address
18W333 ROOSEVELT ROAD SUITE C, LOMBARD, IL 60148
(630) 832-1500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
021002344
IL
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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