Individual
NAIMI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
761 MAIN ST NW STE C, BOURBONNAIS, IL 60914-2343
(815) 933-3377
(815) 933-6530
Mailing address
761 MAIN ST NW STE C, BOURBONNAIS, IL 60914-2343
(815) 933-3377
(815) 933-6530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019031796
IL
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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