Organization
DENTAL SHINE II P.C
Active
Parent organization
DENTAL SHINE II P.C.
Other names
Apex Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL SHINE II P.C.
Authorized official
FIRAS EL-MUQDAD (PRESIDENT)
(708) 769-1073
Entity
Organization
Contact information
Practice address
11830 S ROUTE 59, SUITE 110, PLAINFIELD, IL 60585-5894
(815) 609-0000
Mailing address
11830 S ROUTE 59, SUITE 110, PLAINFIELD, IL 60585-5894
(815) 609-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026154
IL
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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